Organization
IHC HEALTH SERVICES INC
Active
Other names
LDS Campus GI
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
374 10TH AVE, SUITE 100, SALT LAKE CITY, UT 84103-2823
(801) 408-5883
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-5883
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20040514
UT
Other
Enumeration date
03/07/2007
Last updated
07/30/2008
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