NPI | 1992831218 |
---|---|
Doing Business As | UTAH VALLEY FAMILY MEDICINE |
Doing Business As | INTERMOUNTAIN NORTH CANYON FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 33829) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2021-02-01 |