Organization
IHC HEALTH SERVICES INC
Active
Other names
Cottonwood Psychiatry and Counseling
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
5770 S 250 E STE 300, MURRAY, UT 84107-8100
(801) 314-2500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 233-4200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6282012
UT
Other
Enumeration date
10/19/2012
Last updated
01/07/2021
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