Organization
GRAND CANYON STATE INPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W TAYLOR (EXEC. VP, EPP, GENERAL PARTNER)
(800) 444-7009
Entity
Organization
Contact information
Practice address
2174 W OAK AVE, DOUGLAS, AZ 85607-6003
(800) 444-7009
(800) 305-3233
Mailing address
815 S PALAFOX ST, SUITE 300, PENSACOLA, FL 32502-5960
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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