Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Canyon Crest Surgical, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1205071198

Canyon Crest Surgical, LLC is an Ambulatory Surgical Clinic/Center in Draper, Utah. Licensed in Utah. Registered with an NPI since 2008.

Licensed in
UT
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11762 S State #240
Draper, UT 84020
Phone: (801) 542-7194
Fax: (801) 542-7193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 2008-ASF-86531 (UT)

Record details

NPI number1205071198
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vickie Glauser — Office Staff · (801) 316-1313
NPI enumeratedDecember 8, 2008
Last updated in NPPESDecember 8, 2008
Mailing address11762 S State #240, Draper, UT 84020

Other providers in Draper