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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Integrated Community Care Team - DX, Integrated Community Care Team - IM, Integrated Care Clinic, Integrated Community Care Team-UV, Integrated Community Care Team - MK
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) 357-1722
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
01/07/2021
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