| NPI | 1891825170 |
|---|---|
| Doing Business As | MIDVALE EXPRESSCARE |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: UT 49161) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-07-31 |