Provider First Line Business Practice Location Address:
WEBER STATE UNIVERSITY
Provider Second Line Business Practice Location Address:
2701 UNIVERSITY CIRCLE
Provider Business Practice Location Address City Name:
OGDEN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84408-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-626-6501
Provider Business Practice Location Address Fax Number:
801-626-7264
Provider Enumeration Date:
02/28/2006