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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