Organization
CANYON MEDICAL SOLUTIONS INC
Active
Other names
Advanced Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIHAD HALLOUM M.D. (PRESIDENT)
(480) 456-4500
Entity
Organization
Contact information
Practice address
604 W WARNER RD, SUITE B-7, CHANDLER, AZ 85225-2906
(480) 456-4500
(480) 456-4503
Mailing address
604 W WARNER RD, SUITE B-7, CHANDLER, AZ 85225-2906
(480) 456-4500
(480) 456-4503
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35679
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169772
—
AZ
Enumeration date
01/08/2007
Last updated
05/01/2008
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