NPI 1235189002

Ihc Health Services, INC

Organisation Internal Medicine Physician Provo, UT

Practice location

Address: 1034 N 500 W, Provo, UT 84604-3380
Phone: (801) 357-7475
Fax: (801) 357-7997
Mailing address: PO Box 30180, Salt Lake City, UT 84130-0180

Authorised official

Name: Craig Wiley
Title: Pas Mgr
Phone: (801) 357-7027

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 2006HOSP210 (UT)

Other Internal Medicine providers in Utah →

Registry record

NPI: 1235189002
Entity type: Organization
NPI issued: 11 May 2006
Record last updated: 22 Aug 2020

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.