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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