Provider First Line Business Practice Location Address:
UNIVERSTIY OF UTAH DEPARTMENT OF RADIOLOGY
Provider Second Line Business Practice Location Address:
50 NORTH MEDICAL DRIVE, #1A71
Provider Business Practice Location Address City Name:
SALT LAKE CTY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84132-2410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-7553
Provider Business Practice Location Address Fax Number:
801-581-2414
Provider Enumeration Date:
08/22/2005