NPI 1033240965

Ihc Health Services, INC

Organisation Sports Medicine (Physical Medicine & Rehabilitation) Physician Ogden, UT

Practice location

Address: 4401 Harrison Blvd STE 2440, Ogden, UT 84403-3195
Phone: (801) 387-2775
Fax: (801) 387-2780
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Authorised official

Name: Linda C Leckman
Title: Ceo Intermountain Medical Group
Phone: (801) 442-3974

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 1001282 (UT)

Other Physical Medicine & Rehabilitation providers in Utah →

Registry record

NPI: 1033240965
Entity type: Organization
NPI issued: 9 Mar 2007
Record last updated: 31 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.