CANYON RIDGE PAIN AND SPINE PC
Psychiatric at Renaissance Towne Dr, Bountiful, UT

License number
Utah 6955001-1205
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: DR. RAUL KEM WESTON MD
Title: PRESIDENT
Phone: (801) 205-4116
Address
Address
1551 Renaissance Towne Dr SUITE 460, Bountiful, UT 84010
National Provider ID: 1376821587
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CANYON RIDGE PAIN AND SPINE, PC

Bountiful, UT

Industry:
Pain Management
Registration:
Apr 6, 2011
Phone:
(801) 294-7246 (Phone)
Addresses:
1551 S Renaissance Towne Dr STE 460, Bountiful, UT 84010 (Physical)
1551 Rnssance Twn Dr, Bountiful, UT 84010
State ID:
7963783-0144
Business type:
Corporation - Professional
Agent:
John S Bradley,111 E Broadway 11, Salt Lake City, UT 84111 (Physical)

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