Organization
IHC HEALTH SERVICES INC
Active
Other names
Avenues Neurosurgery
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
370 9TH AVE, STE 111, SALT LAKE CITY, UT 84103-3180
(801) 408-2233
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-2233
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
6442011
UT
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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