Organization
IHC HEALTH SERVICES INC
Active
Other names
North Cache Valley Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHYS EXEC/PRES-IMGROUP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
4088 N HIGHWAY 91, HYDE PARK, UT 84318
(435) 563-4900
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 563-3222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
149
UT
207V00000X
Obstetrics & Gynecology Physician
149
UT
Other
Enumeration date
02/16/2007
Last updated
08/29/2018
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