| Ldsh Physicians Billing | |
|
8th Ave & C St Salt Lake City UT 84143-1006 | |
| (801) 442-1400 | |
| Not Available |
| Full Name | Ldsh Physicians Billing |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8th Ave & C St, 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 |
|---|---|
| Ldsh Physicians Billing Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Ldsh Physicians Billing 8th Ave & C St Salt Lake City UT 84143-1006 Ph: (801) 442-1400 |
| NPI Number | 1366567588 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 09/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366567588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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