Provider First Line Business Practice Location Address:
4401 HARRISON BOULEVARD
Provider Second Line Business Practice Location Address:
MCKAY DEE HOSPITAL
Provider Business Practice Location Address City Name:
OGDEN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-507-5248
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2005