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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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