| NPI | 1952563579 |
|---|---|
| Doing Business As | ORTHOPEDIC SPECIALTY GROUP - RIVERTON CAMPUS |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 5682008) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2009-08-31 |