Organization
IHC HEALTH SERVICES INC
Active
Other names
Box Elder Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA C LECKMAN MD (CEO INTERMOUNTAIN MEDICAL GROUP)
(801) 442-3974
Entity
Organization
Contact information
Practice address
1050 S 500 W, BRIGHAM CITY, UT 84302-4715
(435) 695-2700
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-3631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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