| NPI | 1790089530 |
|---|---|
| Doing Business As | MCKAY DEE PEDS CS SEDATION |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: UT 3832011) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |