Provider First Line Business Practice Location Address:
600 S 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:
84790-8723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-251-4900
Provider Business Practice Location Address Fax Number:
435-442-0730
Provider Enumeration Date:
11/13/2006