Provider First Line Business Practice Location Address:
9829 S 1300 E
Provider Second Line Business Practice Location Address:
SUITE 300 GRANITE PEAKS GASTROENTEROLOGY
Provider Business Practice Location Address City Name:
SANDY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84094
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-619-9000
Provider Business Practice Location Address Fax Number:
801-619-9001
Provider Enumeration Date:
05/16/2008