NPI 1104127901

Ihc Health Services INC

Organisation Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Provo, UT

Practice location

Address: 395 W Cougar Blvd STE 101, Provo, UT 84604-3334
Phone: (801) 357-8156
Fax: (801) 357-8156
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Authorised official

Name: Mark Briesacher
Title: Svp-Chief Phy Executive
Phone: (801) 442-3495

Registered specialties

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0011X Licence 8802010 (UT)

Other Preventive Medicine providers in Utah →

Registry record

NPI: 1104127901
Entity type: Organization
NPI issued: 10 Nov 2010
Record last updated: 14 Jan 2021

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.