CANYON RIDGE PAIN AND SPINE PC

BOUNTIFUL, UT
NPI1376821587
Entity TypeOrganization
Authorized ContactRAUL KEM WESTON
President
801-205-4116
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: UT  6955001-1205)
Enumeration Date2011-07-22
Last Update Date2011-07-22
Business Address
CANYON RIDGE PAIN AND SPINE PC
1551 RENAISSANCE TOWNE DR SUITE 460
BOUNTIFUL, UT 84010-7667
Phone number: 801-205-4116
Mailing Address
CANYON RIDGE PAIN AND SPINE PC
1551 RENAISSANCE TOWNE DR SUITE 460
BOUNTIFUL, UT 84010-7667
Phone number: 801-205-4116