NPI 1003291568

Ihc Health Services INC

Organisation Diagnostic Radiology Physician Provo, UT

Practice location

Address: 1034 N 500 W, Provo, UT 84604-3380
Phone: (801) 357-4423
Mailing address: PO Box 30180, Salt Lake City, UT 84130-0180

Authorised official

Name: Mark Briesacher
Title: Clinical Integration Sr Vp
Phone: (801) 442-3495

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in Utah →

Registry record

NPI: 1003291568
Entity type: Organization
NPI issued: 27 Jul 2015
Record last updated: 16 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.