Organization
IHC HEALTH SERVICES INC
Active
Other names
AMERICAN FORK NEONATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (SVP-CHIEF PHYS EXEC-PRES IMG)
(801) 442-3495
Entity
Organization
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 357-7414
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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