| NPI | 1578334637 |
|---|---|
| Doing Business As | CANYON VISTA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE LAWRENCE Secretary 615-920-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2025-10-09 |