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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Physical Medicine and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHYS EXEC/PRES IMG)
(801) 442-3495
Entity
Organization
Contact information
Practice address
395 W BULLDOG BLVD STE 502, PROVO, UT 84604
(801) 357-8818
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-8818
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
49171
UT
Other
Enumeration date
07/06/2007
Last updated
01/14/2021
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