Provider First Line Business Practice Location Address:
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Provider Second Line Business Practice Location Address:
27 S. MARIO CAPECCHI DRIVE
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:
84113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-338-7662
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/03/2023