| Behavioral Health Access - Mkdh | |
|
4401 Harrison Blvd Ogden UT 84403-3195 | |
| (801) 387-5543 | |
| Not Available |
| Full Name | Behavioral Health Access - Mkdh |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4401 Harrison Blvd, Ogden, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP-CHIEF PHYS EXEC/PRES-IM GROUP) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Access - Mkdh Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 387-5543 | Behavioral Health Access - Mkdh 4401 Harrison Blvd Ogden UT 84403-3195 Ph: (801) 387-5543 |
| NPI Number | 1154888907 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 10/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154888907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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