Organization · Type 2 NPI

Canyon Crest Surgical, LLC

Ambulatory Surgical Clinic/Center · Draper, UT

NPI number 1205071198 Active

Practice location

11762 S State #240
Draper, UT 84020

Call (801) 542-7194 Map

Fax (801) 542-7193

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X2008-ASF-86531 (UT)

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1205071198

Canyon Crest Surgical, LLC's National Provider Identifier is 1205071198, issued on Dec 8, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Draper, UT. The record was last updated on Dec 8, 2008.