Provider First Line Business Practice Location Address:
UNIVERSITY OF UTAH
Provider Second Line Business Practice Location Address:
RHEUMATOLOGY, 4B200 SOM, 50 N MEDICAL DR.
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:
84105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-4333
Provider Business Practice Location Address Fax Number:
801-581-6069
Provider Enumeration Date:
12/11/2006