Organization
IHC HEALTH SERVICES INC
Active
Other names
Riverton Neonatology
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIESACHER MD (SVP CHIEF PHY EXEC)
(801) 442-3495
Entity
Organization
Contact information
Practice address
3723 W 12600 S, RIVERTON, UT 84065-7295
(801) 442-1853
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1853
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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