Provider First Line Business Practice Location Address:
UNIVERSITY OF UTAH -- DEPT OF RADIOLOGY-NEURORADIOLOGY
Provider Second Line Business Practice Location Address:
30 N, 1900 E -- 1A71
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:
84132-2140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-4624
Provider Business Practice Location Address Fax Number:
801-585-7330
Provider Enumeration Date:
04/03/2008