Provider First Line Business Practice Location Address:
UNIVERSITY HOSPITAL UTAH
Provider Second Line Business Practice Location Address:
30 NORTH 1900 EAST
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:
84132-2115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-2401
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/24/2009