Ihc Health Services INC

NPI #1063941250 in Salt Lake City, Utah

Provider Information

NPI Number: 1063941250
Entity Type: Organization
Organization Name: Ihc Health Services INC
Primary Specialty: Urology
Enumeration Date: Jun 9, 2017
Last Updated: Jun 9, 2017

Practice Location

Address: 324 E 10TH AVE STE 100
City: Salt Lake City
State: Utah
ZIP Code: 84103-2870
Phone: (801) 408-7500

Authorized Official

Name: MARK BRIESACHER, MD
Title: CLINICAL INTEGRATION SVP
Phone: (801) 442-3495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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