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Ihc Health Services Inc — NPI 1265630693, Provo, UT | NPI Central

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Ihc Health Services Inc

NPI 1265630693 · Physical Medicine & Rehabilitation Physician · Provo, UT

Provider details

NPI number: 1265630693
Entity type: Organization
Primary specialty: Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Mark Briesacher, Svp-Chief Phys Exec/Pres Img(801) 442-3495
License: 49171 (UT)

Specialties & taxonomies

Physical Medicine & Rehabilitation PhysicianPrimary208100000XLicense 49171 (UT)
Allopathic & Osteopathic Physicians

Practice location

395 W Bulldog Blvd Ste 502

Provo, UT 84604

Phone: (801) 357-8818

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

Po Box 27128

Salt Lake City, UT 84127-0128

Other names (DBA / former)

Doing business as: Utah Valley Physical Medicine and Rehab

Registry dates

Enumerated: 2007-07-06
Last updated: 2021-01-14
Certified: 2021-01-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.