| NPI | 1649426800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: UT 3092008) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2009-08-31 |