Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
281PC2000X |
| NPI # | 1821548702 |
| LBN Legal business name | INTERMOUNTAIN HEALTHCARE |
| Authorized official | HEIDI BAGLEY - (CLINICAL DIETITIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/04/2016 |
| Last updated | 10/04/2016 - About 10 years ago |
| Identifiers | n/a |
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INTERMOUNTAIN HEALTHCARE
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