Ihc Health Services INC

NPI #1770099251 in Provo, Utah

Provider Information

NPI Number: 1770099251
Entity Type: Organization
Organization Name: Ihc Health Services INC
Primary Specialty: Dermatology
Enumeration Date: Dec 20, 2017
Last Updated: Jan 7, 2021

Practice Location

Address: 395 W COUGAR BLVD STE 604
City: Provo
State: Utah
ZIP Code: 84604-3331
Phone: (801) 371-6464

Authorized Official

Name: DR. MARK BRIESACHER, MD
Title: SVP - CHIEF PHY EXECUTIVE
Phone: (801) 442-3495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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