Ihc Health Services INC

NPI #1922529601 in Provo, Utah

Provider Information

NPI Number: 1922529601
Entity Type: Organization
Organization Name: Ihc Health Services INC
Primary Specialty: Urology
Enumeration Date: Jul 3, 2017
Last Updated: Jan 14, 2021

Practice Location

Address: 395 W COUGAR BLVD STE 704
City: Provo
State: Utah
ZIP Code: 84604-3333
Phone: (801) 357-3242

Authorized Official

Name: DR. MARK BRIESACHER, MD
Title: CHIEF PHYS EXEC AND PRES MED GROUP
Phone: (801) 442-3495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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