| NPI | 1861527780 |
|---|---|
| Doing Business As | WEST JORDAN KIDSCARE |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 14638) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-09-27 |