Provider First Line Business Practice Location Address:
DIVISION OF EM UNIVERSITY OF UTAH
Provider Second Line Business Practice Location Address:
30 N. 1900 E. ROOM 1C026
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:
801-587-7653
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/17/2008