Provider First Line Business Practice Location Address:
5121 COTTONWOOD STREET
Provider Second Line Business Practice Location Address:
TRAUMA SERVICES
Provider Business Practice Location Address City Name:
MURRAY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84121-7552
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-599-1531
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/14/2013