GRAND CANYON FAMILY MEDICINE PC NPI 1164510616

NPI Information

GRAND CANYON FAMILY MEDICINE PC is a family medicine in Chandler, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRAND CANYON FAMILY MEDICINE PC NPI is 1164510616. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3960 E RIGGS RD
SUITE 1
CHANDLER, AZ
ZIP 85249-410
Phone: (480) 786-4441
Fax: (480) 786-4609

The provider's authorized official is Robert M Tognacci .
The authorized official title is Owner and has the following contact phone number (480) 786-4441.

The CLIA number assigned to this NPI record is 03D1064080 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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