Provider First Line Business Practice Location Address:
3845 WEST 4700 SOUTH
Provider Second Line Business Practice Location Address:
INTERMOUNTAIN HEALTHCARE TAYLORSVILLE CLINIC
Provider Business Practice Location Address City Name:
TAYLORSVILLE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-840-2000
Provider Business Practice Location Address Fax Number:
801-840-2179
Provider Enumeration Date:
03/04/2010