Organization
IHC HEALTH SERVICES INC
Active
Other names
Live Well Center-Salt Lake City
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA C LECKMAN MD (CEO INTERMOUNTAIN MEDICAL GROUP)
(801) 442-3974
Entity
Organization
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2700
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-1396
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
5952011
UT
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
5952011
UT
2083X0100X
Occupational Medicine Physician
5952011
UT
Other
Enumeration date
06/17/2011
Last updated
07/17/2013
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