| Intermountain Senior Clinic | |
|
181 E Medical Tower Dr Murray UT 84107-4872 | |
| (801) 314-4544 | |
| Not Available |
| Full Name | Intermountain Senior Clinic |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 181 E Medical Tower 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 |
|---|---|
| Intermountain Senior Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 314-4544 | Intermountain Senior Clinic 181 E Medical Tower Dr Murray UT 84107-4872 Ph: (801) 314-4544 |
| NPI Number | 1245519859 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 03/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245519859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 6002011 (Utah) | Primary |
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