OrganizationActive
Ihc Health Services Inc
NPI 1184935231 · Pediatric Gastroenterology Physician · Provo, UT
Provider details
- NPI number
- 1184935231
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Briesacher, Svp-Chief Physician Exec Pres Img(801) 442-3495
- License
- 8432010 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
395 W Cougar Blvd Ste 702
Provo, UT 84604-3333
Phone: (801) 357-1700
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Other names (DBA / former)
- Doing business as
- Utah Valley Rock Canyon Pediatric Specialists
Registry dates
- Enumerated
- 2010-06-23
- Last updated
- 2022-05-08
- Certified
- 2022-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.