Provider First Line Business Practice Location Address:
729 ARAPEEN DRIVE
Provider Second Line Business Practice Location Address:
CAMT- NEUROLOGY CLINIC
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:
84108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-587-9637
Provider Business Practice Location Address Fax Number:
801-587-8113
Provider Enumeration Date:
07/13/2006