Full Name | |
---|---|
Speciality | Family Medicine |
Location | 15 E 400 N, Parowan, 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) 477-3317 | 15 E 400 N Parowan UT 84761 Ph: (435) 477-3317 |
NPI Number | 1447380589 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 07/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447380589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1070 (Utah) | Primary |
Little S Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S 4200 W, Parowan, UT 84761 Phone: 435-559-5840 | |