# CANYON PHYSICIANS II

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canyon Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609028661
- **Authorized official:** DENNIS PICKERING (CEO)
- **Authorized official phone:** (602) 432-1114

## Contact information

- **Practice address:** 13206 N 7TH ST, PHOENIX, AZ 85022-5394
- **Practice address phone:** (602) 866-2277
- **Mailing address:** 1825 E NORTHERN AVE, SUITE 100, PHOENIX, AZ 85020-3940
- **Mailing address phone:** (602) 424-8425

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 02/05/2009