| NPI | 1952446676 |
|---|---|
| Doing Business As | NORTHERN UTAH PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 1011448) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-01-21 |