Provider First Line Business Practice Location Address:
1950 CIRCLE OF HOPE
Provider Second Line Business Practice Location Address:
SURGICAL PATHOLOGY, HUNTSMAN CANCER HOSPITAL RM 3860
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:
84112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-2507
Provider Business Practice Location Address Fax Number:
801-581-7035
Provider Enumeration Date:
11/21/2008