Organization
IHC HEALTH SERVICES INC
Active
Other names
Bountiful Clinic
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
390 N MAIN ST, BOUNTIFUL, UT 84010-6046
(801) 294-1000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 294-1000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2006-31121
UT
207K00000X
Allergy & Immunology Physician
2006-31121
UT
207Q00000X
Family Medicine Physician
Primary
2006-31121
UT
207R00000X
Internal Medicine Physician
2006-31121
UT
207V00000X
Obstetrics & Gynecology Physician
2006-31121
UT
208000000X
Pediatrics Physician
2006-31121
UT
2085B0100X
Body Imaging Physician
2006-31121
UT
2085U0001X
Diagnostic Ultrasound Physician
2006-31121
UT
208600000X
Surgery Physician
2006-31121
UT
Other
Enumeration date
02/22/2007
Last updated
07/30/2008
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