Organization
IHC HEALTH SERVICES INC
Active
Other names
Sports Medicine Specialists - Bountiful
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
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 298-2495
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 990-6286
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2006-32348
UT
Other
Enumeration date
03/07/2007
Last updated
08/27/2009
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