Organization
IHC HEALTH SERVICES INC
Active
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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