| NPI | 1013412568 |
|---|---|
| Doing Business As | INTERMOUNTAIN THORACIC,LUNG, AND ESOPHAGEAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec/Pres Im Group 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |