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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Taylorsville Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (SVP-CHIEF EXEC PHYS/PRES-IMGROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
3845 W 4700 S, TAYLORSVILLE, UT 84129-3454
(801) 840-8444
(801) 840-2127
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 840-8444
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
742462014
UT
207N00000X
Dermatology Physician
742462014
UT
Other
Enumeration date
11/25/2014
Last updated
11/29/2018
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