Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Park City Psychiatry and Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH GLICKMAN MD (INTM MEDICAL GROUP PRES/CMO CBC)
(801) 442-2905
Entity
Organization
Contact information
Practice address
750 ROUND VALLEY DR STE 101, PARK CITY, UT 84060-7549
(435) 200-6890
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 200-6890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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