Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Apr 24, 2010
License(s)
9655914-1205 (UT)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 96 E KIMBALLS LN STE 207 | Draper, UT 84020-5025 | 801-576-2300 |
| MAILING | PO BOX 100253 | Atlanta, GA 30384-0253 | 801-568-5972 |
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