NPI | 1891998852 |
---|---|
Doing Business As | INTERMOUNTAIN WASATCH OB/GYN |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Goup 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 1013058) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2009-08-27 |