Canyon Family Medicine

LBN: Canyon Family Medicine Pllc
Canyon Family Medicine is an health care organization with primary practice located at 6242 E Arbor Ave Ste 118 , Mesa AZ 85206-1309. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Canyon Family Medicine Pllc can be contacted via phone (602) 805-4914, or through Hafez, Laura Ayn via phone (602) 805-4914.

Contact Information

Primary practice address
6242 E Arbor Ave Ste 118 Mesa AZ 85206-1309
Phone: (602) 805-4914
Fax: (602) 805-4917
Website:
Map and Directions
Authorized official contact:
Name: Hafez, Laura Ayn Nurse Practitioner (NP)
Phone: (602) 805-4914

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1780349902
LBN Legal business name Canyon Family Medicine Pllc
DBA Doing business as Canyon Family Medicine
Authorized official Hafez, Laura Ayn Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2021
Last updated May 29th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780349902 NPPES
Arizona MEDICAID 104341

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