Organization
IHC HEALTH SERVICES INC
Active
Other names
Park City InstaCare
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (CLINICAL INTEGRATION SR VP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
1750 SIDEWINDER DR, PARK CITY, UT 84060-7570
(435) 649-7640
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 649-7640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5892012
UT
Other
Enumeration date
07/10/2012
Last updated
04/29/2017
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