Organization
IHC HEALTH SERVICES INC
Active
Other names
Layton Parkway Northern Utah Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (CHIEF PHYS EXEC AND PRES MED GROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
201 W LAYTON PARKWAY, LAYTON, UT 84041
(801) 442-1853
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1853
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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