| NPI | 1619162708 |
|---|---|
| Doing Business As | UTAH VALLEY PLASTIC AND RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 49544) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-07-31 |