Organization
IHC HEALTH SERVICES INC
Active
Other names
LDS Critical Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (SVP-CHIEF PHYS EXEC/PRES-IMGROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
8TH AVE C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-1100
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
10/01/2019
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