Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Maternal Fetal Medicine
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
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7706
(801) 357-7706
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7706
(801) 357-7706
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
8832010
UT
Other
Enumeration date
11/10/2010
Last updated
01/07/2021
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