| Logan Inpatient Psychiatry | |
|
1350 N 500 E Ste 250 Logan UT 84341-2400 | |
| (435) 716-1280 | |
| Not Available |
| Full Name | Logan Inpatient Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1350 N 500 E, Logan, Utah |
| Authorized Official Name and Position | Seth Glickman (INTMN MEDICAL GROUP PRES/CMO CBC) |
| Authorized Official Contact | 8014422905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Inpatient Psychiatry Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 716-5790 | Logan Inpatient Psychiatry 1350 N 500 E Ste 250 Logan UT 84341-2400 Ph: (435) 716-1280 |
| NPI Number | 1467705087 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 11/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467705087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2742012 (Utah) | Primary |
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