Provider First Line Business Practice Location Address:
5121 S. COTTONWOOD ST.
Provider Second Line Business Practice Location Address:
INTERMOUNTAIN MEDICAL CENTER
Provider Business Practice Location Address City Name:
MURRAY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-507-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2009