Organization
IHC HEALTH SERVICES INC
Active
Other names
Spanish Fork Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHY EXECUTIVE)
(801) 442-3495
Entity
Organization
Contact information
Practice address
819 E MARKET PLACE DR, SPANISH FORK, UT 84660-5669
(801) 442-1883
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1853
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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