Organization
CANYON MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M CANOWITZ MD (PRESIDENT)
(614) 864-6010
Entity
Organization
Contact information
Practice address
5969 EAST BROAD STREET, 2ND FLOOR, COLUMBUS, OH 43213
(614) 864-6010
(614) 864-0306
Mailing address
5969 EAST BROAD STREET, 2ND FLOOR, COLUMBUS, OH 43213
(614) 864-6010
(614) 864-0306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454119
—
OH
Enumeration date
06/19/2006
Last updated
08/22/2020
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