| NPI | 1750416947 |
|---|---|
| Doing Business As | KIDSCARE AT BOUNTIFUL |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 2007-32895) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-08-27 |