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 |