Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Heart Lung Vein
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF EXEC/PRES-IMGROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
395 W COUGAR BLVD STE 503, PROVO, UT 84604-3323
(801) 357-7081
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7081
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
43076
UT
Other
Enumeration date
02/28/2007
Last updated
01/07/2021
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