| NPI | 1881953537 |
|---|---|
| Doing Business As | PARK CITY ALLERGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: UT 4592012) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2017-01-25 |