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Grand Canyon Medical Clinic Pllc
Family Nurse Practitioner in Yuma, Arizona
NPI 1164141065

Grand Canyon Medical Clinic Pllc is a Family Nurse Practitioner based in Yuma, AZ and is specialized in Family. Grand Canyon Medical Clinic Pllc practices in Yuma, AZ. The NPI Number for Grand Canyon Medical Clinic Pllc is 1164141065 and holds a License No. (Arizona).

The current practice location address for Grand Canyon Medical Clinic Pllc is 1841 W 25Th St Ste B, Yuma, AZ and can be reached out via phone at 928-503-7246.

Location: 1841 W 25Th St Ste B, Yuma, AZ, 85364-5321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164141065
Provider Name
Grand Canyon Medical Clinic Pllc
Credential
Provider Entity Type
Organization
Address
1841 W 25Th St Ste B, Yuma, AZ, 85364-5321
Phone Number
928-503-7246
Fax Number
Provider Enumeration Date
08/24/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1841 W 25Th St Ste B
City
Yuma
State
Arizona
Zip
85364-6931
Phone Number
928-503-7246
Fax Number
person
Provider Business Mailing Address Details
Address
1841 W 25Th St Ste B
City
Yuma
State
Arizona
Zip
85364-6931
Phone Number
928-503-7246
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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