Organization
IHC HEALTH SERVICES INC
Active
Other names
Rose Park Elementary Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA C LECKMAN MD (CEO INTERMOUNTAIN MEDICAL GROUP)
(801) 364-2434
Entity
Organization
Contact information
Practice address
1105 W 1000 N, SALT LAKE CITY, UT 84116-2135
(801) 364-2434
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 364-2434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4572012
UT
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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