| Desert Canyon Family & Sports Medicine Pllc | |
|
3800 W Ray Rd Ste 5 Chandler AZ 85226-5940 | |
| (480) 820-4305 | |
| (480) 820-5540 |
| Full Name | Desert Canyon Family & Sports Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3800 W Ray Rd Ste 5, Chandler, Arizona |
| Authorized Official Name and Position | John P Julius (OWNER) |
| Authorized Official Contact | 4808204305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Canyon Family & Sports Medicine Pllc 3800 W Ray Rd Ste 5 Chandler AZ 85226-5940 Ph: (480) 820-4305 | Desert Canyon Family & Sports Medicine Pllc 3800 W Ray Rd Ste 5 Chandler AZ 85226-5940 Ph: (480) 820-4305 |
| NPI Number | 1033384136 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033384136 | NPI | - | NPPES |
| 443862 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3023 (Arizona) | Primary |
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