Organization
IHC HEALTH SERVICES INC
Active
Other names
Bryner Clinic
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
525 E 100 S, SUITE 500, SALT LAKE CITY, UT 84102-4210
(801) 519-7100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 519-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19950476
UT
208000000X
Pediatrics Physician
19950476
UT
2085B0100X
Body Imaging Physician
19950476
UT
Other
Enumeration date
02/23/2007
Last updated
07/31/2008
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