Provider First Line Business Practice Location Address:
100 NO. MEDICAL DRIVE
Provider Second Line Business Practice Location Address:
ATTN SAME DAY SURGERY
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:
84113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-662-2840
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/30/2008