Organization
CORNER CANYON PAIN & MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL GORDON LESUEUR DC (OWNER)
(801) 553-9691
Entity
Organization
Contact information
Practice address
12176 S 1000 E STE 10, DRAPER, UT 84020-3221
(801) 553-9691
(801) 571-4288
Mailing address
12176 S 1000 E STE 10, DRAPER, UT 84020-3221
(801) 553-9691
(801) 571-4288
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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