Organization
GOLD CANYON INTERNAL MEDICINE, PLLC
Active
Organization
GOLD CANYON INTERNAL MEDICINE, PLLC
Active
Parent organization
GOLD CANYON INTERNAL MEDICINE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOLD CANYON INTERNAL MEDICINE, PLLC
Authorized official
MR. GEORGE K FAHNBULLEH NA (CEO)
(602) 300-7301
Entity
Organization
Contact information
Practice address
5440 E SOUTHERN AVE STE 105, MESA, AZ 85206-2779
(480) 626-4999
(480) 303-4323
Mailing address
5440 E SOUTHERN AVE STE 10, MESA, AZ 85206-2779
(480) 626-4999
(480) 306-3239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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