Organization
IHC HEALTH SERVICES INC
Active
Other names
Avenues Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP CHIEF PHYS EXEC-PRES MG)
(801) 442-3495
Entity
Organization
Contact information
Practice address
324 E 10TH AVE STE 200, SALT LAKE CITY, UT 84103-2869
(801) 408-7500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-1440
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
5342008
UT
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
01/28/2022
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