Provider First Line Business Practice Location Address:
50 NORTH MEDICAL DRIVE
Provider Second Line Business Practice Location Address:
UNIVERSITY OF UTAH CARDIOLOGY CLINIC #10
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:
84132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-585-5122
Provider Business Practice Location Address Fax Number:
801-585-2319
Provider Enumeration Date:
02/04/2009