NPI 1063941250

Ihc Health Services INC

Organisation Urology Physician Salt Lake City, UT

Practice location

Address: 324 E 10th Ave STE 100, Salt Lake City, UT 84103-2870
Phone: (801) 408-7500
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Authorised official

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

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Utah →

Registry record

NPI: 1063941250
Entity type: Organization
NPI issued: 9 Jun 2017
Record last updated: 9 Jun 2017

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.