| NPI | 1881721363 |
|---|---|
| Doing Business As | INTERMOUNTAIN PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 19950477) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-07-31 |