Ihc Health Services INC

NPI #1689180218 in Provo, Utah

Provider Information

NPI Number: 1689180218
Entity Type: Organization
Organization Name: Ihc Health Services INC
Primary Specialty: Pediatrics
Enumeration Date: Dec 19, 2017
Last Updated: Jan 14, 2021

Practice Location

Address: 395 W BULLDOG BLVD STE 703
City: Provo
State: Utah
ZIP Code: 84604
Phone: (801) 714-3440

Authorized Official

Name: DR. MARK BRIESACHER, MD
Title: SVP - CHIEF PHYS EXEC/PRES-MG
Phone: (801) 442-3495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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