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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Maternal Fetal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP - CHIEF PHYS EXECUTIVE)
(801) 442-3495
Entity
Organization
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7706
(801) 357-7706
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7706
(801) 357-7706
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
8832010
UT
Other
Enumeration date
11/10/2010
Last updated
01/07/2021
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