Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley TIA/Stroke Clinic
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 502, PROVO, UT 84604-3323
(801) 357-8879
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-8879
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
885211
UT
Other
Enumeration date
06/03/2011
Last updated
01/14/2021
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