Community Physicians Group Mental Health | |
1525 W 2100 S Salt Lake City UT 84119-1401 | |
(801) 213-3900 | |
Not Available |
Full Name | Community Physicians Group Mental Health |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1525 W 2100 S, Salt Lake City, Utah |
Authorized Official Name and Position | Samuel Finlayson (CHIEF CLINICAL OFFICER) |
Authorized Official Contact | 8015876336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Physicians Group Mental Health Po Box 841450 Los Angeles CA 90084-1450 Ph: (801) 213-3900 | Community Physicians Group Mental Health 1525 W 2100 S Salt Lake City UT 84119-1401 Ph: (801) 213-3900 |
NPI Number | 1528466596 |
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Provider Enumeration Date | 12/08/2014 |
Last Update Date | 01/22/2021 |
Certification Date | 01/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528466596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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