CANYON PEDIATRICS, INC
Managed Care Organizations at Baseline Rd, Gilbert, AZ

License number
Arizona 20136
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DENNIS PICKERING
Title: BUSINESS OWNER
Phone: (602) 889-7550
Address
Address
2451 E Baseline Rd SUITE 200, Gilbert, AZ 85234
National Provider ID: 1831185362
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CANYON PEDIATRICS, INC

Ste 13 STE 130, Gilbert, AZ 85234

Registration:
Feb 8, 2001
State ID:
-0978661-9
Expiration:
PERPETUAL
President/ceo:
Jerry Richardson (President/ceo), Ste 13 STE 130, Gilbert, AZ 85234 (Physical)
Business type:
HEALTH CARE

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