NPI 1295862951

Ihc Health Services INC

Organisation Pulmonary Disease Physician Provo, UT

Practice location

Address: 395 W Cougar Blvd STE 504, Provo, UT 84604-3323
Phone: (801) 357-7291
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

Pulmonary Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RP1001X Licence 44723 (UT)

Other Internal Medicine providers in Utah →

Registry record

NPI: 1295862951
Entity type: Organization
NPI issued: 28 Feb 2007
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.