NPI | 1841559648 |
---|---|
Doing Business As | DIXON CLINIC |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 4542012) |
Enumeration Date | 2012-05-14 |
Last Update Date | 2012-05-14 |