Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Rock Canyon Pediatric Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER M.D. (SVP-CHIEF PHYSICIAN EXEC PRES IMG)
(801) 442-3495
Entity
Organization
Contact information
Practice address
395 W COUGAR BLVD STE 702, PROVO, UT 84604-3333
(801) 357-1700
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-1700
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
8432010
UT
2080P0206X
Pediatric Gastroenterology Physician
Primary
8432010
UT
Other
Enumeration date
06/23/2010
Last updated
05/08/2022
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