Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Fillmore 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
700 S HIGHWAY 99, #3, FILLMORE, UT 84631-5134
(435) 743-5555
(435) 743-5764
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 743-5555
(435) 743-5764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
B2007-49
UT
207V00000X
Obstetrics & Gynecology Physician
B2007-49
UT
Other
Enumeration date
02/09/2007
Last updated
07/17/2008
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