Organization
CORNER CANYON CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL GORDON LESUEUR D.C. (PRESIDENT)
(801) 553-9691
Entity
Organization
Contact information
Practice address
1136 DRAPER PKWY, DRAPER, UT 84020-9095
(801) 553-9691
(801) 571-4288
Mailing address
1136 DRAPER PKWY, DRAPER, UT 84020-9095
(801) 553-9691
(801) 571-4288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7416390-1202
UT
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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