Canyon Ridge Pain and Spine PC
Canyon Ridge Pain and Spine PC is an Interventional Pain Medicine Physician in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2011.
- Licensed in
- UT
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1551 Renaissance Towne Dr Ste 460Bountiful, UT 84010-7667
Phone: (801) 205-4116
Fax: (435) 986-9368
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence 6955001-1205 (UT) |
|---|
Record details
| NPI number | 1376821587 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raul Weston — President · (801) 205-4116 |
| NPI enumerated | July 22, 2011 |
| Last updated in NPPES | July 22, 2011 |
| Mailing address | 1551 Renaissance Towne Dr, Suite 460, Bountiful, UT 84010-7667 |