Provider First Line Business Practice Location Address:
DIVISION OF EMERGENCY MEDICINE SCHOOL OF
Provider Second Line Business Practice Location Address:
30 N 1900 E 1C026
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:
84132-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-2730
Provider Business Practice Location Address Fax Number:
801-585-0603
Provider Enumeration Date:
03/30/2015