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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Holladay Allergy and Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA C LECKMAN MD (CEO INTERMOUNTAIN MEDICAL GROUP)
(801) 442-3974
Entity
Organization
Contact information
Practice address
6272 HIGHLAND DR, MURRAY, UT 84121-2126
(801) 871-6300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 871-6300
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4992012
UT
207N00000X
Dermatology Physician
4992012
UT
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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