Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP - CHIEF PHYS EXEC/PRES-MG)
(801) 442-3495
Entity
Organization
Contact information
Practice address
395 W BULLDOG BLVD STE 703, PROVO, UT 84604
(801) 714-3440
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 714-3440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
01/14/2021
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