Organization
LANCE R BRYCE
Active
Other names
Canyon Surgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE R BRYCE MD (PRESIDENT)
(801) 951-2349
Entity
Organization
Contact information
Practice address
984 S 500 W, STE 2, BRIGHAM CITY, UT 84302-3604
(801) 951-2349
(801) 951-2389
Mailing address
PO BOX 268, SUITE, BOUNTIFUL, UT 84011-0268
(801) 951-2349
(801) 951-2389
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
81409
AZ
Other
Enumeration date
05/09/2008
Last updated
10/26/2009
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