Bradshaw Mountain Family Medicine

LBN: Black Canyon Medical
Bradshaw Mountain Family Medicine is an health care organization with primary practice located at 17301 E Spring Valley Rd Ste F, Spring Valley AZ 86333-4263. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. Black Canyon Medical can be contacted via phone (928) 632-4909, or through Hancock, Randy Charles via phone (623) 742-6428.

Contact Information

Primary practice address
17301 E Spring Valley Rd Ste F Spring Valley AZ 86333-4263
Phone: (928) 632-4909
Fax: (623) 374-5576
Website:
Map and Directions
Authorized official contact:
Name: Hancock, Randy Charles Doctor of Osteopathy (DO)
Phone: (623) 742-6428

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 3297 Arizona

Profile Details

NPI number 1972799856
LBN Legal business name Black Canyon Medical
DBA Doing business as Bradshaw Mountain Family Medicine
Authorized official Hancock, Randy Charles Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Sep 24th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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