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Organization

IHC HEALTH SERVICE INC

Active
Other names
Intermountain Ephraim 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
525 N MAIN ST, EPHRAIM, UT 84627-1155
(435) 283-4076
(435) 283-4078
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 283-4076
(435) 283-4078

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1195
UT
207X00000X
Orthopaedic Surgery Physician
1195
UT
208600000X
Surgery Physician
1195
UT

Other

Enumeration date
02/09/2007
Last updated
07/17/2008
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