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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Liberty Elementary
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (CHIEF PHYS EXEC/PRES MEDICAL GROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
1078 S 300 E, SALT LAKE CITY, UT 84111-4638
(801) 408-3585
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 578-8376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4562012
UT
Other
Enumeration date
05/14/2012
Last updated
02/27/2018
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