NPI | 1912023300 |
---|---|
Doing Business As | BUDGE CLINIC |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Vice President 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 06-05120) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 06-05120) |
207RG0100X Internal Medicine, Gastroenterology (Licence: UT 06-05120) | |
207Y00000X Otolaryngology (Licence: UT 06-05120) | |
208600000X Surgery (Licence: UT 06-05120) | |
208800000X Urology (Licence: UT 06-05120) | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2008-06-26 |