NPI | 1871990309 |
---|---|
Other Name | SOUTH JORDAN WORKMED |
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 770172014) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2015-02-10 |