Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Pediatric Imaging
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
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 442-3156
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-3156
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
4802012
UT
Other
Enumeration date
10/19/2012
Last updated
10/22/2012
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