Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANYON RIDGE PAIN AND SPINE PC
Active OrganizationCANYON RIDGE PAIN AND SPINE PC is a Interventional Vascular Surgery organization located in BOUNTIFUL, Utah. NPI 1376821587 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · BOUNTIFUL, UT
Registration Details
- NPI Number
- 1376821587
- Provider Type
- Organization
- NPI Issued
- Jul 22, 2011 (15.075758595482 yrs)
- Last Updated
- Jul 22, 2011
- License
-
6955001-1205 (UT)
Practice Information
- Address
-
1551 RENAISSANCE TOWNE DRSUITE 460BOUNTIFUL, UT, 840107667Browse UT providers · Browse ZIP 84010
- Phone
- 8012054116
- Fax
- 4359869368
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.