Organization
IHC HEALTH SERVICES INC
Active
Other names
Utah Valley Psychiatry & Counseling, Utah Valley Inpatient Psychiatry
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 BULLDOG BLVD STE 601, PROVO, UT 84604-3331
(801) 357-7525
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7525
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
11/05/2012
Last updated
01/14/2021
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