Organization
IHC HEALTH SERVICES INC
Active
Other names
Southridge Clinic Pediatrics
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
3723 W 12600 S, STE 330, RIVERTON, UT 84065-7296
(801) 285-4543
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 285-4543
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5722009
UT
Other
Enumeration date
03/11/2009
Last updated
03/15/2016
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