| NPI | 1710156922 |
|---|---|
| Doing Business As | CRMC FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: ID 20) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2011-09-27 |