Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Physical Medicine and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHYS EXEC/PRES IMG)
(801) 442-3495
Entity
Organization
Contact information
Practice address
395 W BULLDOG BLVD STE 502, PROVO, UT 84604
(801) 357-8818
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-8818
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
49171
UT
Other
Enumeration date
07/06/2007
Last updated
01/14/2021
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