| NPI | 1902126204 |
|---|---|
| Doing Business As | ALTA VIEW SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: UT 5562010) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 5562010) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 5562010) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 5562010) | |
| 207W00000X Ophthalmology (Licence: UT 5562010) | |
| 207Y00000X Otolaryngology (Licence: UT 5562010) | |
| 208200000X Plastic Surgery (Licence: UT 5562010) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-11 |