| NPI | 1396982203 |
|---|---|
| Doing Business As | UTAH VALLEY INSTACARE |
| Doing Business As | INTERMOUNTAIN PROVO INSTACARE |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec / Pres Img 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 8602008) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2021-01-07 |