Provider First Line Business Practice Location Address:
30 NORTH 1900 EAST 1C026
Provider Second Line Business Practice Location Address:
UNIVERSITY OF UTAH DIVISION OF EMERGENCY MEDICINE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-502-0775
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2007