Ihc Health Services INC
Internal Medicine in Salt Lake City, UT. Organization (NPI-2).
NPI number1982118485
StatusActive
Last updated in NPPESNov 21, 2017
Details
- NPI
- 1982118485
- Entity type
- Organization (NPI-2)
- Legal business name
- Ihc Health Services INC
- Organization subpart
- No
- Enumeration date
- Nov 21, 2017
- Last updated
- Nov 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Avenues Internal Medicine (Doing Business As)
Practice location
324 E 10th Ave Ste 100Salt Lake City, UT 84103-2870
Phone 801-408-7500
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Authorized official
Mark Briesacher
Svp Chief Phys Exec/Pres-Mg
8014423495
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