Provider First Line Business Practice Location Address:
RUSSELL MURDOCK
Provider Second Line Business Practice Location Address:
50 NORTH MEDICAL DR
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:
801-581-8244
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/19/2013