CANYON CREST SURGICAL, LLC; NPI #1205071198

Contact Information

CANYON CREST SURGICAL, LLC

11762 S STATE #240
DRAPER, UT 84020

Phone: 801-542-7194
Fax: 801-542-7193
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for CANYON CREST SURGICAL, LLC

NPI # 1205071198

LBN Legal business name CANYON CREST SURGICAL, LLC

Authorized official VICKIE GLAUSER - (OFFICE STAFF)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/08/2008

Last updated 12/08/2008 - About 17 years ago

Identifiers

License #

2008-ASF-86531

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CANYON CREST SURGICAL, LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for CANYON CREST SURGICAL, LLC

Reviews for CANYON CREST SURGICAL, LLC