Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Healthcare Flu Shot Clinic
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
776 N TERMINAL DR, SALT LAKE CITY, UT 84122-7003
(801) 292-6100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 292-6100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
770902014
UT
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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