NPI | 1821495334 |
---|---|
Doing Business As | BUDGE CLINIC GENERAL SURGERY |
Entity Type | Organization |
Authorized Contact | LINDA LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: UT 742432014) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2015-02-10 |