Organization
IHC HEALTH SERVICES INC
Active
Other names
Liberty Elementary
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (CHIEF PHYS EXEC/PRES MEDICAL GROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
1078 S 300 E, SALT LAKE CITY, UT 84111-4638
(801) 408-3585
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 578-8376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4562012
UT
Other
Enumeration date
05/14/2012
Last updated
02/27/2018
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