| NPI | 1972932622 |
|---|---|
| Other Name | RED CANYON FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BEVERLY J CLARK Credentialing Coordinator 970-254-2642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2022-01-04 |