| Summit County Program | |
|
1753 Sidewinder Dr Suite S200 Park City UT 84060-7258 | |
| (435) 649-9079 | |
| (435) 649-2157 |
| Full Name | Summit County Program |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1753 Sidewinder Dr, Park City, Utah |
| Authorized Official Name and Position | Debra Falvo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8012637100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit County Program 5965 S 900 E Suite 420 Salt Lake City UT 84121-1720 Ph: (801) 263-7100 | Summit County Program 1753 Sidewinder Dr Suite S200 Park City UT 84060-7258 Ph: (435) 649-9079 |
| NPI Number | 1295791721 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295791721 | NPI | - | NPPES |
| 2423 | Other | UT | PEHP |
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