Organization · Type 2 NPI

Ihc Health Services Inc

Pulmonary Disease Physician · Provo, UT

NPI number 1295862951 Active

Practice location

395 W Cougar Blvd Ste 504
Provo, UT 84604-3323

Call (801) 357-7291 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

1034 N 500 W, Provo, UT 84604-3380 · (801) 357-7291

Specialties and licenses

Taxonomy	Code	License
Pulmonary Disease Physician Primary	207RP1001X	44723 (UT)

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

NPI record

NPI: 1295862951
Entity type: Organization (Type 2)
Issued: Feb 28, 2007
Last updated: Jan 14, 2021
Status: Active

Other names

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Intermountain Utah Valley Pulmonary · doing business as
Intermountain Utah Valley Pulmonary · doing business as

Authorized official

Dr. Mark Briesacher, MD
SVP - Chief Phy Executive
(801) 442-3495

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295862951

Ihc Health Services Inc's National Provider Identifier is 1295862951, issued on Feb 28, 2007. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Provo, UT. The record was last updated on Jan 14, 2021.