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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