Provider First Line Business Practice Location Address:
6440 SOUTH MILLROCK DRIVE SUITE 175
Provider Second Line Business Practice Location Address:
COMPHEALTH
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:
84121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-930-3441
Provider Business Practice Location Address Fax Number:
866-588-1013
Provider Enumeration Date:
09/28/2006