Organization
SOUTH COUNTY PSYCHIATRIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP WASHBURN M.D. (GENERAL PSYCHIATRIST)
(801) 465-2035
Entity
Organization
Contact information
Practice address
39 PROFESSIONAL WAY STE 2, PAYSON, UT 84651-1677
(801) 465-2035
Mailing address
39 PROFESSIONAL WAY #2, PAYSON, UT 84651
(801) 465-2035
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
146051-1205
UT
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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