Organization
IHC HEALTH SERVICES INC
Active
Other names
Southwest Urology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA C LECKMAN M.D. (CEO INTERMOUNTAIN MEDICAL GROUP)
(801) 442-3974
Entity
Organization
Contact information
Practice address
1380 E MEDICAL CENTER DR, SUITE 2100, ST GEORGE, UT 84790-2129
(435) 251-3250
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-3250
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2992011
UT
Other
Enumeration date
06/10/2010
Last updated
02/08/2011
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