Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Utah Valley Pulmonary
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
395 W COUGAR BLVD STE 504, PROVO, UT 84604-3323
(801) 357-7291
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7291
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
44723
UT
Other
Enumeration date
02/28/2007
Last updated
01/14/2021
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