NPI | 1841543477 |
---|---|
Doing Business As | ALTA VIEW PLASTIC SURGERY SPECIALISTS |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-501-6250 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 6572012) |
Enumeration Date | 2012-10-19 |
Last Update Date | 2012-10-19 |