Provider First Line Business Practice Location Address:
DEPT OF ANESTH UNIV OF UTAH 30 NORTH 1900 E
Provider Second Line Business Practice Location Address:
ROOM 3C444
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:
84132-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-6393
Provider Business Practice Location Address Fax Number:
801-581-4367
Provider Enumeration Date:
06/13/2006