Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Deseret Family Medicine at Gold Canyon Arizona PLC

Organization Family Medicine Physician · NPI 1487381992

Deseret Family Medicine at Gold Canyon Arizona PLC provides Family Medicine Physician services in Gold Canyon, Arizona. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

6410 S Kings Ranch Rd Ste 1
Gold Canyon, AZ 85118-7352
Phone: (480) 981-3000
Fax: (480) 288-2879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1487381992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Allen — Owner · (480) 981-3000
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address6410 S Kings Ranch Rd Ste 1, Gold Canyon, AZ 85118-7352

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