# DESERT CANYON FAMILY & SPORTS MEDICINE PLLC

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

## Provider details

- **NPI number:** 1174650295
- **Authorized official:** MARY-LOUISE MULCAHY RN, MBA, BSN (ADMINISTRATOR)
- **Authorized official phone:** (480) 357-3904

## Contact information

- **Practice address:** 6200 S MCCLINTOCK DR, SUITE 9, TEMPE, AZ 85283-3268
- **Practice address phone:** (480) 820-4305
- **Practice address fax:** (480) 820-5540
- **Mailing address:** 6200 S MCCLINTOCK DR, SUITE 9, TEMPE, AZ 85283-3268
- **Mailing address phone:** (480) 820-4305
- **Mailing address fax:** (480) 820-5540

## Taxonomy

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

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 08/22/2020