Organization
CANYONLANDS COMMUNITY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL NESTOR D.O. (SITE DIRECTOR)
(928) 428-1500
Entity
Organization
Contact information
Practice address
618 S CENTRAL AVE, SAFFORD, AZ 85546-2721
(928) 428-1500
Mailing address
618 S CENTRAL AVE, SAFFORD, AZ 85546-2721
(928) 428-1500
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
3915
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788771
—
AZ
Enumeration date
06/29/2011
Last updated
07/07/2011
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