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6272 Highland Dr Murray UT 84121-2126 | |
| (801) 273-5000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 6272 Highland Dr, Murray, 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: (801) 273-5000 | 6272 Highland Dr Murray UT 84121-2126 Ph: (801) 273-5000 |
| NPI Number | 1487780177 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487780177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34307 (Utah) | Primary |
| 213E00000X | Podiatrist | 34307 (Utah) | Secondary |
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