| NPI | 1518414481 |
|---|---|
| Doing Business As | INTEGRATED CARE CLINIC |
| Doing Business As | INTEGRATED COMMUNITY CARE TEAM - MK |
| Doing Business As | INTEGRATED COMMUNITY CARE TEAM - DX |
| Doing Business As | INTEGRATED COMMUNITY CARE TEAM-UV |
| Doing Business As | INTEGRATED COMMUNITY CARE TEAM - IM |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2021-01-07 |