Gold Canyon Family Practice
NPI #1225337207 in Gold Canyon, Arizona
Provider Information
- NPI Number
- 1225337207
- Entity Type
- Organization
- Organization Name
- Gold Canyon Family Practice
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 16, 2011
- Last Updated
- Sep 20, 2011
Practice Location
- Address
- 6820 S KINGS RANCH RD STE 130
- City
- Gold Canyon
- State
- Arizona
- ZIP Code
- 85118-2959
- Phone
- (480) 347-1321
Authorized Official
- Name
- DAITON RUTKOWSKI
- Title
- CEO
- Phone
- (480) 982-3691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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