Provider First Line Business Practice Location Address:
2749 PARLEYS WAY
Provider Second Line Business Practice Location Address:
SUITE 200
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:
84109-1660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-984-9100
Provider Business Practice Location Address Fax Number:
801-994-1000
Provider Enumeration Date:
03/02/2009