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Gold Canyon Internal Medicine

Gold Canyon Internal Medicine is a health care provider in Gold Canyon, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 6788 S Kings Ranch Rd Ste 1, Gold Canyon, AZ 85118-2928, US
Practice Location Phone480-626-4999
Practice Location Fax480-304-3238
NPI ?1417112541
Entity TypeOrganization
Enumeration Date ? Jul 29, 2008
Last Update Date ? Mar 6, 2018
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Gold Canyon Internal Medicine

SpecialtySpecializationLicenseLicense State
Internal Medicine 25933Arizona
Non-Pharmacy Dispensing Site Arizona

legacy-id-icon Legacy Provider IDs of Gold Canyon Internal Medicine

Provider IdIssuer StateIssuer TypeIssuer

official-icon Authorized Official of Gold Canyon Internal Medicine

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Gold Canyon Internal Medicine's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Jerrelle M Copeland (MD)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number480-370-2602