| |
420 W 600 N Tremonton UT 84337-2400 | |
(435) 257-4444 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 420 W 600 N, Tremonton, Utah |
Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
Authorized Official Contact | 8014423974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 257-4444 | 420 W 600 N Tremonton UT 84337-2400 Ph: (435) 257-4444 |
NPI Number | 1487853826 |
---|---|
Provider Enumeration Date | 07/16/2007 |
Last Update Date | 04/29/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487853826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 004992 (Utah) | Primary |