Organization
IHC HEALTH SERVICES INC
Active
Other names
Dixon 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
750 W 200 N, PROVO, UT 84601-2606
(801) 357-5757
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-5757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4542012
UT
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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