| NPI | 1659672459 |
|---|---|
| Doing Business As | UTAH VALLEY DIABETES MANAGEMENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 8862010) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2011-11-22 |