| Intermountain 2200 W Workmed | |
|
420 N 2200 W Salt Lake City UT 84116-2923 | |
| (801) 442-1853 | |
| Not Available |
| Full Name | Intermountain 2200 W Workmed |
|---|---|
| Speciality | Family Medicine |
| Location | 420 N 2200 W, Salt Lake City, 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 |
|---|---|
| Intermountain 2200 W Workmed Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1853 | Intermountain 2200 W Workmed 420 N 2200 W Salt Lake City UT 84116-2923 Ph: (801) 442-1853 |
| NPI Number | 1467995860 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 12/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467995860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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