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CORNER CANYON PAIN & MEDICINE
NPI 1992347512
General Practice in Draper, UT

Active since October 15, 2019
12176 S 1000 E STE 10, DRAPER, UT 84020(801) 553-9691(801) 571-4288 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corner Canyon Pain & Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNER CANYON PAIN & MEDICINE (NPI 1992347512) is a healthcare organization registered as a general practice in Draper, Utah and active in the NPI registry since October 2019. The organization lists Carl Gordon Lesueur, Owner, as its authorized official.

NPPES Registry Identity

NPI1992347512
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCORNER CANYON PAIN & MEDICINE
Location Address12176 S 1000 E STE 10Draper, UT 84020-3221
Mailing Address12176 S 1000 E Ste 10Draper, UT 84020-3221 · (801) 553-9691 · Fax (801) 571-4288
Phone(801) 553-9691
Fax(801) 571-4288
Organization SubpartNo
Authorized OfficialCarl Gordon LesueurOwner · (801) 553-9691
Enumeration DateOctober 15, 2019
✔ NPI 1992347512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12176 S 1000 E STE 10, Draper, UT 84020
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN MAXFIELD CUTLER DC, MS
Chiropractor
12176 S 1000 E STE 10
DRAPER, UT 84020
Salt Lake County (801) 396-8155
MRS. KATHERINE ELIZABETH STEVENSON FNP-C
Nurse Practitioner (Family)
12176 S 1000 E STE 10
DRAPER, UT 84020
Salt Lake County (801) 553-9691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corner Canyon Pain & Medicine's NPI number?

The NPI number for Corner Canyon Pain & Medicine is 1992347512. It was assigned to this organization in the NPPES registry on October 15, 2019.

Where is Corner Canyon Pain & Medicine located?

Corner Canyon Pain & Medicine is located at 12176 S 1000 E Ste 10, Draper, UT 84020. The listed phone number is (801) 553-9691.

What is Corner Canyon Pain & Medicine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Corner Canyon Pain & Medicine was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.