Organization
IHC HEALTH SERVICES INC
Active
Other names
Behavioral Health Access - MKDH
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (SVP-CHIEF PHYS EXEC/PRES-IM GROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-5543
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-5543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
10/01/2019
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