Organization
IHC HEALTH SERVICES INC
Active
Other names
Alta View Clinic Internal Medicine
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
9844 S 1300 E, #200, SANDY, UT 84094-4673
(801) 572-1472
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 572-1472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55887
UT
Other
Enumeration date
03/15/2007
Last updated
01/07/2021
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