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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Provo InstaCare, Utah Valley InstaCare
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 COUGAR BLVD STE 205, PROVO, UT 84604-3328
(801) 357-1770
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-1770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
8602008
UT
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/14/2009
Last updated
01/07/2021
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