Organization
IHC HEALTH SERVICES INC
Active
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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