Organization
IHC HEALTH SERVICES INC
Active
Other names
McKay Dee Uro-Gynecology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA C LECKMAN M.D. (CEO INTERMOUNTAIN MEDICAL GROUP)
(801) 442-3974
Entity
Organization
Contact information
Practice address
4403 HARRISON BLVD STE 4440, OGDEN, UT 84403-3291
(801) 387-8450
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-8450
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
3562010
UT
208800000X
Urology Physician
3562010
UT
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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