NPI | 1811329154 |
---|---|
Doing Business As | INTERMOUNTAIN EMPLOYEE CLINIC |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 6072013) |
Enumeration Date | 2013-08-08 |
Last Update Date | 2021-01-14 |