Provider First Line Business Practice Location Address:
THE UNIVERSITY OF UTAH SCHOOL OF MEDICINE DEPT OF
Provider Second Line Business Practice Location Address:
INTERNAL MEDICINE. 30 N 1900 E ROOM 4C104
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:
84134-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-7606
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2014