| NPI | 1689090516 |
|---|---|
| Doing Business As | AMERICAN FORK DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 8182014) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |