Provider First Line Business Practice Location Address:
1137 EAST 2100 SOUTH
Provider Second Line Business Practice Location Address:
ADVANCED HEARING CENTER INC
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-486-9309
Provider Business Practice Location Address Fax Number:
801-606-2901
Provider Enumeration Date:
11/06/2006