Mountain States Health Alliance
NPI #1588853295 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1588853295
- Entity Type
- Organization
- Organization Name
- Mountain States Health Alliance
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Oct 18, 2007
- Last Updated
- Nov 2, 2007
Practice Location
- Address
- 508 PRINCETON COMMONS
- Address 2
- SUITE 403
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-2060
- Phone
- (423) 722-3000
Authorized Official
- Name
- JEFFREY N DICE
- Title
- ASSISTANT VICE PRESIDENT
- Phone
- (423) 431-7060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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