NPI 1336307966

Ihc Health Services INC

Organisation Urology Physician Salt Lake City, UT

Practice location

Address: 324 10th Ave STE 178, Salt Lake City, UT 84103-2853
Phone: (801) 408-3771
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

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 2008504 (UT)

Other Urology providers in Utah →

Registry record

NPI: 1336307966
Entity type: Organization
NPI issued: 30 May 2008
Record last updated: 30 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.