Organization
IHC HEALTH SERVICES INC
Active
Other names
McKay Dee Behavioral Health Inst, McKay Dee Inpatient Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
SETH GLICKMAN MD (INTRM MEDICAL GROUP PRES/CMO CBC)
(801) 442-2905
Entity
Organization
Contact information
Practice address
3903 HARRISON BLVD STE 300, OGDEN, UT 84403-2362
(801) 387-5600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-5600
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
362
UT
2084P0800X
Psychiatry Physician
Primary
3622012
UT
2084P0804X
Child & Adolescent Psychiatry Physician
3622012
UT
Other
Enumeration date
09/26/2012
Last updated
10/21/2019
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