Provider First Line Business Practice Location Address:
UNIVERSITY OF UTAH/DEPARTMENT OBGYN
Provider Second Line Business Practice Location Address:
30N, 1900E, SUITE 2B200
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:
84132-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-585-0067
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/07/2006