| Canyon Pediatrics, Inc | |
|
2451 E Baseline Rd Suite 200 Gilbert AZ 85234-2471 | |
| (480) 507-2213 | |
| (480) 626-6508 |
| Full Name | Canyon Pediatrics, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2451 E Baseline Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Richard Brubaker (CEO) |
| Authorized Official Contact | 4807767155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Pediatrics, Inc 2451 E Baseline Rd Ste 130 Gilbert AZ 85234-2471 Ph: (480) 507-2213 | Canyon Pediatrics, Inc 2451 E Baseline Rd Suite 200 Gilbert AZ 85234-2471 Ph: (480) 507-2213 |
| NPI Number | 1831185362 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831185362 | NPI | - | NPPES |
| 053504 | Medicaid | AZ | |
| AZ0889880 | Other | AZ | BLUE CROSS BLUE SHEILD |
| 2048349 | Other | AZ | AETNA HEALTH CAER |
| 183427266 | Other | AZ | TRICARE |
| 6327185 | Other | AZ | CIGNA US HEALTH CARE |
| 1Z5874 | Other | AZ | HEALTH NET |
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