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Organization
HEALTH SERVICES INC
Active
Organization
HEALTH SERVICES INC
Active
Other names
Layton Parkway Maternal Fetal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (SVP CHIEF EXEC PHYS/PRES IMGROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
201 W LAYTON PKWY, LAYTON, UT 84041-3692
(801) 442-1853
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1853
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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