| Gold Canyon Family Practice | |
|
6820 S Kings Ranch Rd Ste 130 Gold Canyon AZ 85118-2959 | |
| (480) 347-1321 | |
| (480) 982-3692 |
| Full Name | Gold Canyon Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6820 S Kings Ranch Rd Ste 130, Gold Canyon, Arizona |
| Authorized Official Name and Position | Daiton Rutkowski (CEO) |
| Authorized Official Contact | 4809823691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Canyon Family Practice 6820 S Kings Ranch Rd Ste 130 Gold Canyon AZ 85118-2959 Ph: (480) 347-1321 | Gold Canyon Family Practice 6820 S Kings Ranch Rd Ste 130 Gold Canyon AZ 85118-2959 Ph: (480) 347-1321 |
| NPI Number | 1225337207 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225337207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Arizona) | Primary |
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