| NPI | 1801114459 |
|---|---|
| Doing Business As | CACHE VALLEY HEART CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO/VP Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 2602010) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |