Organization
IHC HEALTH SERVICES INC
Active
Other names
Budge Clinic Anticoagulation
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (SVP-CHIEF PHYS EXEC/PRES IMGROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 752-0422
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 657-4400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
04/30/2018
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