Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
LDS Pulmonary Clinic
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
324 E 10TH AVE STE 170, SALT LAKE CITY, UT 84103-2858
(801) 322-1000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 322-1000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
12/21/2018
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