NPI | 1932234036 |
---|---|
Doing Business As | MEDICAL TOWER SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: UT 2072-07) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: UT 2072-07) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2008-07-30 |