# IHC HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Retinal Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457987570
- **Authorized official:** DR. MARK BRIESACHER MD (SVP-CHIEF PHYSICIAN EXECUTIVE)
- **Authorized official phone:** (801) 442-3495

## Contact information

- **Practice address:** 2829 UNIVERSITY DR S, FARGO, ND 58103-6050
- **Practice address phone:** (801) 233-4407
- **Mailing address:** PO BOX 27128, SALT LAKE CITY, UT 84127-0128
- **Mailing address phone:** (801) 233-4407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2020
- **Last updated:** 03/20/2020