NPI 1790816973

Ihc Health Services INC

Organisation Pediatrics Physician Sandy, UT

Practice location

Address: 9450 S 1300 E, Sandy, UT 84094-5555
Phone: (801) 501-9933
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Authorised official

Name: Mark Briesacher
Title: Svp Chief Physician Exec
Phone: (801) 442-3495

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 55776 (UT)

Other Pediatrics providers in Utah →

Registry record

NPI: 1790816973
Entity type: Organization
NPI issued: 8 Mar 2007
Record last updated: 13 Jan 2022

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.