| NPI | 1639200140 |
|---|---|
| Doing Business As | SANDY ENT |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 73201) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-07-31 |