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

Corner Canyon Pain & Medicine

Organization General Practice Physician · NPI 1992347512

Corner Canyon Pain & Medicine is a General Practice Physician in Draper, Utah. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

12176 S 1000 E Ste 10
Draper, UT 84020-3221
Phone: (801) 553-9691
Fax: (801) 571-4288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1992347512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Lesueur — Owner · (801) 553-9691
NPI enumeratedOctober 15, 2019
Last updated in NPPESOctober 15, 2019
Mailing address12176 S 1000 E Ste 10, Draper, UT 84020-3221

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