| NPI | 1821113887 |
|---|---|
| Other Name | IMED GERIATRICS |
| Entity Type | Organization |
| Authorized Contact | LINDA LECKMAN CEO 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-10-10 |