Provider First Line Business Practice Location Address:
5121 SOUTH COTTONWOOD DRIVE
Provider Second Line Business Practice Location Address:
NEWBORN ICU
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:
84157-7000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-408-3482
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/28/2007