Organization
CANYON SKY ENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAULIK B. SHAH MD (OWNER)
(480) 676-3322
Entity
Organization
Contact information
Practice address
2151 E PECOS RD STE 1, CHANDLER, AZ 85225-6098
(480) 676-3322
(480) 676-3523
Mailing address
2151 E PECOS RD STE 1, CHANDLER, AZ 85225-6098
(480) 676-3322
(480) 676-3523
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
41072
AZ
Other
Enumeration date
05/14/2018
Last updated
10/30/2018
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