Provider First Line Business Practice Location Address:
800 W UNIVERSITY PKWY
Provider Second Line Business Practice Location Address:
UVSC, MS115 BEHAVIORAL SCIENCES
Provider Business Practice Location Address City Name:
OREM
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84058-5999
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-863-6377
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2007