Organization
IHC HEALTH SERVICES INC
Active
Other names
Park City Specialty East
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
750 ROUND VALLEY DR, STE 101, PARK CITY, UT 84060-0000
(435) 658-7470
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 658-7470
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
5832011
UT
208800000X
Urology Physician
Primary
5832011
UT
Other
Enumeration date
05/03/2011
Last updated
05/09/2011
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