Provider First Line Business Practice Location Address:
UNIVERSITY OF UTAH DEPARTMENT OF RADIOLOGY AND IMAGING
Provider Second Line Business Practice Location Address:
30 NORTH MARIO CAPECCHI DRIVE 2 SOUTH
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:
84112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-633-7085
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/09/2023