Organization
IHC HEALTH SERVICES INC
Active
Other names
Chronic Pain Mgmt - Layton
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (CLINICAL INTEGRATION SVP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
2075 UNIVERSITY PARK BLVD, LAYTON, UT 84041-1611
(801) 387-6200
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-6200
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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