Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Urological Institute-LDS Campus
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
324 10TH AVE, STE 178, SALT LAKE CITY, UT 84103-2853
(801) 408-3771
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-3771
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2008504
UT
Other
Enumeration date
05/30/2008
Last updated
07/30/2008
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