Provider First Line Business Mailing Address:
UNIVERSITY OF UTAH DEPARTMENT OF OB/GYN
Provider Second Line Business Mailing Address:
30 NORTH 1900, ROOM 2A200
Provider Business Mailing Address City Name:
SALT LAKE CITY
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84132-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number: