BLACK CANYON MEDICAL is an allergy immunology in Spring Valley, AZ. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. BLACK CANYON MEDICAL NPI is 1972799856. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bradshaw Mountain Family Medicine.
The provider's business location address is:
17301 E SPRING VALLEY RD
STE F
SPRING VALLEY, AZ
ZIP 86333-263
Phone: (928) 632-4909
Fax: (623) 374-5576
The provider's authorized official is Randy Charles Hancock .
The authorized official title is Owner and has the following contact phone number (623) 742-6428.
The CLIA number assigned to this NPI record is 03D2111795 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/24/2007 and was last updated on 9/24/2007.