Provider First Line Business Practice Location Address:
2801 UNIVERSITY CIR
Provider Second Line Business Practice Location Address:
WEBER STATE UNIVERSITY
Provider Business Practice Location Address City Name:
OGDEN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84408-2801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-430-2426
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/22/2006