Organization
GRAND CANYON MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX D GALVEZ FNP (OWNER)
(928) 350-8507
Entity
Organization
Contact information
Practice address
1841 W 25TH ST STE B, YUMA, AZ 85364-6931
(928) 503-7246
Mailing address
1329 W 20TH ST, YUMA, AZ 85364-5321
(928) 503-7246
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
02/20/2024
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