Organization
DESERET FAMILY MEDICINE AT GOLD CANYON ARIZONA PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALLEN MD (OWNER)
(480) 981-3000
Entity
Organization
Contact information
Practice address
6410 S KINGS RANCH RD STE 1, GOLD CANYON, AZ 85118-7352
(480) 981-3000
(480) 288-2879
Mailing address
6410 S KINGS RANCH RD STE 1, GOLD CANYON, AZ 85118-7352
(480) 981-3000
(480) 288-2879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/08/2022
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