MARK R BRIESACHER

SALT LAKE CITY, UT
NPI1154333029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  932637891205)
Enumeration Date2006-08-12
Last Update Date2008-12-01
Business Address
-- MARK R BRIESACHER MD
2180 E 4500 S #210
SALT LAKE CITY, UT 84117-4434
Phone number: 801-278-4719
Mailing Address
-- MARK R BRIESACHER MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-278-4719
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