NPI 1770099251

Ihc Health Services INC

Organisation Dermatology Physician Provo, UT

Practice location

Address: 395 W Cougar Blvd STE 604, Provo, UT 84604-3331
Phone: (801) 371-6464
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

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Utah →

Registry record

NPI: 1770099251
Entity type: Organization
NPI issued: 20 Dec 2017
Record last updated: 7 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.