NPI | 1922275999 |
---|---|
Doing Business As | CANYON SURGICAL CLINIC |
Entity Type | Organization |
Authorized Contact | LANCE R BRYCE President 801-951-2349 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AZ 81409) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2009-10-26 |