CANYON MEDICAL SOLUTIONS INC NPI 1417005026

NPI Information

NPI: 1417005026
Provider Name: CANYON MEDICAL SOLUTIONS INC

Doing Business As: ADVANCED FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
604 W WARNER RD
SUITE B-7
CHANDLER, AZ
ZIP 85225
Phone: (480) 456-4500
Get Directions

CANYON MEDICAL SOLUTIONS INC is a primary care clinic center in Chandler, AZ. CANYON MEDICAL SOLUTIONS INC NPI is 1417005026. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Family Medicine.

The provider's business location address is:

604 W WARNER RD
SUITE B-7
CHANDLER, AZ
ZIP 85225-906
Phone: (480) 456-4500
Fax: (480) 456-4503

The provider's authorized official is Jihad Halloum .
The authorized official title is President and has the following contact phone number (480) 456-4500.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 5/1/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	35679	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	169772	MEDICAID	ARIZONA
2	Z112954	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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