# DESERT CANYON FAMILY & SPORTS MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033384136
- **Authorized official:** DR. JOHN P JULIUS D.O. (OWNER)
- **Authorized official phone:** (480) 820-4305

## Contact information

- **Practice address:** 3800 W RAY RD STE 5, CHANDLER, AZ 85226-5940
- **Practice address phone:** (480) 820-4305
- **Practice address fax:** (480) 820-5540
- **Mailing address:** 3800 W RAY RD STE 5, CHANDLER, AZ 85226-5940
- **Mailing address phone:** (480) 820-4305
- **Mailing address fax:** (480) 820-5540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3023 | AZ | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 06/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 443862 | — | AZ |