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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
North Cache Valley Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHYS EXEC/PRES-IMGROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
4088 N HIGHWAY 91, HYDE PARK, UT 84318
(435) 563-4900
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 563-3222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
149
UT
207V00000X
Obstetrics & Gynecology Physician
149
UT
Other
Enumeration date
02/16/2007
Last updated
08/29/2018
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