NPI | 1992133284 |
---|---|
Doing Business As | INT TRAUMA GENERAL SURGERY |
Entity Type | Organization |
Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: UT 6092013) |
Enumeration Date | 2013-10-23 |
Last Update Date | 2015-08-27 |