Black Canyon Medical L.L.C. in Mayer - Family Medicine
Black Canyon Medical L.L.C. - NPI 1164619821
Black Canyon Medical L.L.C. is a Family Medicine in Mayer, Arizona. Black Canyon Medical L.L.C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Black Canyon Medical L.L.C. is 1164619821. The last update date is 2020-03-09.
Black Canyon Medical L.L.C.'s current location address is 17301 E Spring Valley Rd Ste F, Mayer, Arizona. You can contact this provider via phone number 9287105851 and fax number 9286324973. The mailing address for Black Canyon Medical L.L.C. is 17301 E Spring Valley Rd Ste F, Mayer, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Black Canyon Medical L.L.C. |
|---|---|
| Address | 17301 E Spring Valley Rd Ste F, Mayer, Arizona |
| Phone Number | 9287105851 |
| Fax Number | 9286324973 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER |
|---|---|
| Authorized Official Name | Malin D Kerry |
| Credentials | PA |
| Telephone Number | 9287105851 |
NPI Number Detail
| NPI Number | 1164619821 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2020-03-09 |
Provider Mailing Address Detail
| Address | 17301 E Spring Valley Rd Ste F |
|---|---|
| City | Mayer |
| State | Arizona (AZ) |
| Post Code | 863334263 |
| Phone Number | 9287105851 |
| Fax Number | 9286324973 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 3297 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Black Canyon Medical L.L.C.'s unique identification number?
The Black Canyon Medical L.L.C. has been assigned the NPI (National Provider Identifier) Number 1164619821 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Black Canyon Medical L.L.C.'s facilities are situated?
The facilities of Black Canyon Medical L.L.C. are physically located at the following address: 17301 E Spring Valley Rd Ste F, Mayer, AZ, 863334263.
What is Black Canyon Medical L.L.C.'s area of expertise and its corresponding taxonomy classification?
The Black Canyon Medical L.L.C.'s field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1164619821 assigned to Black Canyon Medical L.L.C.?
The Black Canyon Medical L.L.C. was issued its 1164619821 on 2007-09-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Black Canyon Medical L.L.C. last refreshed?
The information related to the Black Canyon Medical L.L.C., including its address, specialty, and other relevant details, was last updated on 2020-03-09.
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