| NPI | 1649304445 |
|---|---|
| Doing Business As | INTERMOUNTAIN UTAH VALLEY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 1987-07938) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-01-07 |