Organization
GERIATRIC PSYCHIATRY SERVICES LLC
Active
Organization
GERIATRIC PSYCHIATRY SERVICES LLC
Active
Other names
Sana Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A. CARTER (ADMIISTRATOR)
(928) 277-3424
Entity
Organization
Contact information
Practice address
181 WHIPPLE ST, PRESCOTT, AZ 86301-1705
(928) 277-3424
Mailing address
185 S STATE ST STE 1300, SALT LAKE CITY, UT 84111-1537
(801) 589-4033
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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