Provider First Line Business Practice Location Address:
1380 E MEDICAL CENTER DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST GEORGE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-251-1000
Provider Business Practice Location Address Fax Number:
435-688-4002
Provider Enumeration Date:
10/05/2006