# GRAND CANYON FAMILY MEDICINE PC

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

## Provider details

- **NPI number:** 1164510616
- **Authorized official:** DR. ROBERT M TOGNACCI DO (OWNER)
- **Authorized official phone:** (480) 786-4441

## Contact information

- **Practice address:** 3960 E RIGGS RD, SUITE 1, CHANDLER, AZ 85249-5410
- **Practice address phone:** (480) 786-4441
- **Practice address fax:** (480) 786-4609
- **Mailing address:** 3960 E RIGGS RD, SUITE 1, CHANDLER, AZ 85249-5410
- **Mailing address phone:** (480) 786-4441
- **Mailing address fax:** (480) 786-4609

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 07/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 362513 | — | AZ |