| NPI | 1699800375 |
|---|---|
| Doing Business As | DIABETIC CARE CENTER |
| 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 0709883) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: UT 0709883) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2016-03-11 |