Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Pediatric Intensivists
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (SVP CHIEF EXEC PHYS/MG PRES)
(801) 442-3495
Entity
Organization
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-3809
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1853
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
11/26/2018
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