Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Palliative Care 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 102, PROVO, UT 84604-3334
(801) 357-8586
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-3631
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
742502015
UT
Other
Enumeration date
02/12/2015
Last updated
01/14/2021
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