Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Utah Valley Sports 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
1157 N 300 W, #201, PROVO, UT 84604-6124
(801) 357-1200
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7129
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
1987-07938
UT
Other
Enumeration date
03/15/2007
Last updated
01/07/2021
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