| NPI | 1871734426 |
|---|---|
| Doing Business As | SOUTHRIDGE CLINIC OB-GYN |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 5712009) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2016-03-02 |