Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Canyon University

Organization Family Medicine Physician · NPI 1124501069

Grand Canyon University provides Family Medicine Physician services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018

Practice location Address checks out

3300 W Camelback Rd Health Ctr
Phoenix, AZ 85017-1097
Phone: (602) 639-6215
Fax: (602) 639-7830
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OTC9096 (AZ)

Record details

NPI number1124501069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constance Colbert — Director · (602) 639-7757
Other names Grand Canyon Education, Inc
NPI enumeratedSeptember 6, 2018
Last updated in NPPESFebruary 6, 2021
Certification dateFebruary 6, 2021
Mailing address3300 W Camelback Rd, Health Center, Phoenix, AZ 85017-1097

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