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.
|Practice Location||6788 S Kings Ranch Rd Ste 1, Gold Canyon, AZ 85118-2928, US|
|Practice Location Phone||480-626-4999|
|Practice Location Fax||480-304-3239|
|Legal Business Name||GOLD CANYON INTERNAL MEDICINE|
|Enumeration Date ?||Jul 29, 2008|
|Last Update Date ?||Mar 21, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Internal Medicine||Allopathic & Osteopathic Physicians||25933||Arizona|
|Non-Pharmacy Dispensing Site||Suppliers||Arizona|
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||OWNER|
|Authorized Official Phone Number||480-370-2602|