# DESERET FAMILY MEDICINE AT GOLD CANYON ARIZONA PLC

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

## Provider details

- **NPI number:** 1487381992
- **Authorized official:** ROBERT ALLEN MD (OWNER)
- **Authorized official phone:** (480) 981-3000

## Contact information

- **Practice address:** 6410 S KINGS RANCH RD STE 1, GOLD CANYON, AZ 85118-7352
- **Practice address phone:** (480) 981-3000
- **Practice address fax:** (480) 288-2879
- **Mailing address:** 6410 S KINGS RANCH RD STE 1, GOLD CANYON, AZ 85118-7352
- **Mailing address phone:** (480) 981-3000
- **Mailing address fax:** (480) 288-2879

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2022
- **Last updated:** 08/08/2022