Organization
IHC HEALTH SERVICES INC
Active
Other names
Southridge Clinic Surgical Specialties
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, #270, RIVERTON, UT 84065-7296
(801) 285-4600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 285-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005200
UT
207V00000X
Obstetrics & Gynecology Physician
2005200
UT
208000000X
Pediatrics Physician
Primary
2005200
UT
Other
Enumeration date
03/07/2007
Last updated
01/19/2017
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