Provider First Line Business Practice Location Address:
5063 S COTTONWOOD ST #400
Provider Second Line Business Practice Location Address:
STEVEN M.THACKERAY, M.D.
Provider Business Practice Location Address City Name:
MURRAY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-507-1950
Provider Business Practice Location Address Fax Number:
801-507-1951
Provider Enumeration Date:
04/27/2006