Provider First Line Business Practice Location Address:
1380 E MEDICAL CENTER DR STE 2600
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT GEORGE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-251-2700
Provider Business Practice Location Address Fax Number:
435-656-4907
Provider Enumeration Date:
11/15/2012