Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain North Canyon Family Practice, Utah Valley Family Medicine
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 COUGAR BLVD STE B, PROVO, UT 84604-3311
(801) 373-3300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 373-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33829
UT
Other
Enumeration date
02/23/2007
Last updated
02/01/2021
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