Organization
GOLD CANYON URGENT CARE AND FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAITON RUTKOWSKI (CEO MANAGING PARTNER)
(480) 982-3691
Entity
Organization
Contact information
Practice address
6820 S KINGS RANCH RD, SUITE 130, GOLD CANYON, AZ 85118-2935
(480) 982-3691
(480) 982-3692
Mailing address
6820 S KINGS RANCH RD, SUITE 130, GOLD CANYON, AZ 85118-2935
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5940
AZ
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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