Organization
IHC HEALTH SERVICES INC
Active
Other names
Park City Allergy 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
900 ROUND VALLEY DR, STE 200, PARK CITY, UT 84060-7532
(435) 658-6622
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 658-6622
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4592012
UT
Other
Enumeration date
05/15/2012
Last updated
01/25/2017
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