Corner Canyon Pain & Medicine

NPI #1992347512 in Draper, Utah

Provider Information

NPI Number: 1992347512
Entity Type: Organization
Organization Name: Corner Canyon Pain & Medicine
Primary Specialty: General Practice
Enumeration Date: Oct 15, 2019
Last Updated: Oct 15, 2019

Practice Location

Address: 12176 S 1000 E STE 10
City: Draper
State: Utah
ZIP Code: 84020-3221
Phone: (801) 553-9691

Authorized Official

Name: CARL GORDON LESUEUR, DC
Title: OWNER
Phone: (801) 553-9691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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