NPI 1235421785

Ihc Health Services INC

Organisation Pain Medicine Physician Park City, UT

Practice location

Address: 750 Round Valley Dr STE 101, Park City, UT 84060-0000
Phone: (435) 658-7246
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

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 5842011 (UT)

Other Pain Medicine providers in Utah →

Registry record

NPI: 1235421785
Entity type: Organization
NPI issued: 3 May 2011
Record last updated: 3 May 2011

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.