Provider First Line Business Practice Location Address:
375 CHIPETA WAY SUITA A200
Provider Second Line Business Practice Location Address:
UNIVERSITY OF UTAH HOSPITALS AND CLINICS, SLEEP 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:
84108-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-751-0098
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/14/2007