Provider First Line Business Practice Location Address:
1950 CIRCLE OF HOPE
Provider Second Line Business Practice Location Address:
ACUTE CARE CLINIC
Provider Business Practice Location Address City Name:
SLC
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84112-5550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-585-0100
Provider Business Practice Location Address Fax Number:
801-585-1510
Provider Enumeration Date:
12/10/2009