Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Radiology Associates, Intermountain Professional Radiology Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (CLINICAL INTEGRATION SR VP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-4423
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 225-6246
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
08/16/2019
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