Organization
IHC HEALTH SERVICES INC
Active
Other names
Diabetic Care Center
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
181 E MEDICAL TOWER DR, SUITE 310, MURRAY, UT 84107-4872
(801) 314-4500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 314-4500
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
0709883
UT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0709883
UT
Other
Enumeration date
02/22/2007
Last updated
03/11/2016
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