Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Diabetes Management 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
1134 N 500 W, STE 103, PROVO, UT 84604-6102
(801) 357-7546
(801) 357-7546
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7546
(801) 357-7546
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
8862010
UT
Other
Enumeration date
11/10/2010
Last updated
11/22/2011
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