| Intermountain Sevier Valley Clinic | |
|
1000 N Main St Ste A Richfield UT 84701-2069 | |
| (435) 893-0580 | |
| Not Available |
| Full Name | Intermountain Sevier Valley Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 N Main St Ste A, Richfield, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP-CHIEF PHY EXECUTIVE) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Sevier Valley Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 896-8254 | Intermountain Sevier Valley Clinic 1000 N Main St Ste A Richfield UT 84701-2069 Ph: (435) 893-0580 |
| NPI Number | 1396872073 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 07/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396872073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 000179 (Utah) | Primary |
| 207V00000X | Obstetrics & Gynecology | 000179 (Utah) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
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