Desert Canyon Family & Sports Medicine Pllc

LBN: Desert Canyon Family & Sports Medicine Pllc
Desert Canyon Family & Sports Medicine Pllc is an health care organization with primary practice located at 3800 W Ray Rd Ste 5 , Chandler AZ 85226-5940. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Desert Canyon Family & Sports Medicine Pllc can be contacted via phone (480) 820-4305, or through Julius, John P via phone (480) 820-4305.

Contact Information

Primary practice address
3800 W Ray Rd Ste 5 Chandler AZ 85226-5940
Phone: (480) 820-4305
Fax: (480) 820-5540
Website:
Map and Directions
Authorized official contact:
Name: Julius, John P Doctor of Osteopathy (DO)
Phone: (480) 820-4305

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3023 Arizona

Profile Details

NPI number 1033384136
LBN Legal business name Desert Canyon Family & Sports Medicine Pllc
DBA Doing business as
Authorized official Julius, John P Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2008
Last updated Jun 12th, 2008 - about 16 years 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 1033384136 NPPES
Arizona MEDICAID 443862

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