Briesacher, Mark R

Briesacher, Mark R is an individual health care provider with primary practice located at 2180 E 4500 S #210, Salt Lake City UT 84117-4434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Briesacher, Mark R can be contacted via phone (801) 278-4719.

Contact Information

Primary practice address
2180 E 4500 S #210 Salt Lake City UT 84117-4434

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 932637891205 Utah

Profile Details

NPI number 1154333029
LBN Legal business name Briesacher, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Dec 1st, 2008 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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