Organization
CANYON RIDGE PAIN AND SPINE PC
Active
Organization
CANYON RIDGE PAIN AND SPINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL KEM WESTON MD (PRESIDENT)
(801) 205-4116
Entity
Organization
Contact information
Practice address
1551 RENAISSANCE TOWNE DR, SUITE 460, BOUNTIFUL, UT 84010-7667
(801) 205-4116
(435) 986-9368
Mailing address
1551 RENAISSANCE TOWNE DR, SUITE 460, BOUNTIFUL, UT 84010-7667
(801) 205-4116
(435) 986-9368
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
6955001-1205
UT
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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