Provider First Line Business Practice Location Address:
1380 E MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST GEORGE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-251-2992
Provider Business Practice Location Address Fax Number:
435-688-6222
Provider Enumeration Date:
01/02/2010