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 |