| NPI | 1649659707 | 
|---|---|
| Doing Business As | BOUNTIFUL WORKMED | 
| Entity Type | Organization | 
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 770182015)  | 
| Enumeration Date | 2015-05-22 | 
| Last Update Date | 2015-05-22 |