Organization
IHC HEALTH SERVICES INC
Active
Other names
Kidney Services - McKay Dee, Kidney Services - IMC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHYS EXECUTIVE)
(801) 442-3495
Entity
Organization
Contact information
Practice address
5169 S COTTONWOOD ST STE 320, MURRAY, UT 84107-6768
(801) 507-2531
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-8122
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
01/07/2021
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