CANYON CREST SURGICAL, LLC
Ambulatory Health at State, Draper, UT

License number
Utah 2008-ASF-86531
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: VICKIE K GLAUSER
Title: OFFICE STAFF
Phone: (801) 316-1313
Address
Address
11762 S State St #240, Draper, UT 84020
National Provider ID: 1205071198
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CANYON CREST SURGICAL, LLC

Draper, UT

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Dec 21, 2007
Phone:
(801) 748-1201 (Phone)
Addresses:
11762 S State St STE 240, Draper, UT 84020 (Physical)
11760 S State St, Draper, UT 84020
State ID:
6854187-0160
Business type:
LLC - Domestic
Plastic Surgeon, Medical Directors:
Jed R. Bindrup (Medical Director),Mark H. Keep (Principal),Vickie K. Glauser (Office Staff),...
Agent:
John S Bradley,11 E Broadway 11, Salt Lake City, UT 84111 (Physical)

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