Organization
IHC HEALTH SERVICES INC
Active
Other names
Logan Psychiatry, Logan Inpatient Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH GLICKMAN MD (INTMN MEDICAL GROUP PRES/CMO CBC)
(801) 442-2905
Entity
Organization
Contact information
Practice address
1350 N 500 E, STE 250, LOGAN, UT 84341-2400
(435) 716-1280
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 716-5790
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2742012
UT
Other
Enumeration date
10/19/2012
Last updated
11/05/2019
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