Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Redrock Pediatrics
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
1380 E MEDICAL CENTER DR, #3100, ST GEORGE, UT 84790-2123
(435) 251-2740
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-2740
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00009023
UT
2080A0000X
Pediatric Adolescent Medicine Physician
00009023
UT
2080P0206X
Pediatric Gastroenterology Physician
00009023
UT
Other
Enumeration date
03/01/2007
Last updated
07/30/2008
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