Organization
IHC HEALTH SERVICES INC
Active
Other names
St George Neonatology, Dixie Neonatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP CHIEF PHYSICIAN EXECUTIVE)
(801) 442-2000
Entity
Organization
Contact information
Practice address
1380 E MEDICAL CENTER DR STE 1600, ST GEORGE, UT 84790-2123
(435) 251-5200
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-3156
(801) 442-3156
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
01/07/2021
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