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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Infectious Disease
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP - CHIEF PHY EXECUTIVE)
(801) 442-3495
Entity
Organization
Contact information
Practice address
395 W COUGAR BLVD STE 603, PROVO, UT 84604-3331
(801) 357-1772
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1853
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
01/07/2021
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