# GRAND CANYON UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grand Canyon Education, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124501069
- **Authorized official:** MRS. CONSTANCE COLBERT FNP-BC (DIRECTOR)
- **Authorized official phone:** (602) 639-7757

## Contact information

- **Practice address:** 3300 W CAMELBACK RD, HEALTH CENTER, PHOENIX, AZ 85017-1097
- **Practice address phone:** (602) 639-6215
- **Practice address fax:** (602) 639-7830
- **Mailing address:** 3300 W CAMELBACK RD, HEALTH CENTER, PHOENIX, AZ 85017-1097
- **Mailing address phone:** (602) 639-6215
- **Mailing address fax:** (602) 639-7830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OTC9096 | AZ | Yes |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 02/06/2021
