| NPI | 1861696411 |
|---|---|
| Doing Business As | INTERMOUNTAIN SNOW COLLEGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: UT 1540) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-07-17 |