Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Senior Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP - CHIEF PHY EXECUTIVE)
(801) 442-3495
Entity
Organization
Contact information
Practice address
395 W COUGAR BLVD STE 602, PROVO, UT 84604-3331
(801) 357-7250
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 373-3300
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
01/07/2021
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