Individual
LEAH M. FORTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HUNTSMAN MENTAL HEALTH INSTITUTE, 501 CHIPETA WAY, SALT LAKE CITY, UT 84108
(801) 581-4096
Mailing address
HUNTSMAN MENTAL HEALTH INSTITUTE/ DEPT OF PSYCHIATRY, 501 CHIPETA WAY, SALT LAKE CITY, UT 84108
(801) 581-4096
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12985848-1205
UT
Other
Enumeration date
05/05/2021
Last updated
08/23/2022
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