Provider First Line Business Practice Location Address:
392 W MEDICAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SARATOGA SPRINGS
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84045-3227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-763-3500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2026