Provider First Line Business Practice Location Address:
1140 E 3900 S
Provider Second Line Business Practice Location Address:
ST. MARK'S WOMEN'S DIAGNOSTIC CENTER
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:
84124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-743-6509
Provider Business Practice Location Address Fax Number:
801-951-4919
Provider Enumeration Date:
12/05/2014