Provider First Line Business Practice Location Address:
1380 E MEDICAL CENTER DR STE 1500
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT GEORGE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84790-2128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-435-2500
Provider Business Practice Location Address Fax Number:
435-251-2525
Provider Enumeration Date:
05/05/2010