| NPI | 1619902848 |
|---|---|
| Former Legal Business Name | FAMILY MEDICINE CENTER CANYON |
| Doing Business As | FMC CANYON |
| Entity Type | Organization |
| Authorized Contact | STEFANIE FEEMSTER Credentialing Specialist 806-358-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-03-03 |