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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP - CHIEF PHYS EXEC/PRES-MG)
(801) 442-3495
Entity
Organization
Contact information
Practice address
395 W BULLDOG BLVD STE 703, PROVO, UT 84604
(801) 714-3440
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 714-3440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
01/14/2021
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