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 |