NPI | 1710136742 |
---|---|
Doing Business As | AMERICAN FORK SURGICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: UT 8372008) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2008-09-15 |