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

Black Canyon Medical

Organization Allergy & Immunology Physician · NPI 1972799856

Black Canyon Medical is an Allergy & Immunology Physician in Spring Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

17301 E Spring Valley Rd Ste F
Spring Valley, AZ 86333-4263
Phone: (928) 632-4909
Fax: (623) 374-5576
Show map & directions

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

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 3297 (AZ)

Record details

NPI number1972799856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Hancock — Owner · (623) 742-6428
Other names Bradshaw Mountain Family Medicine
NPI enumeratedSeptember 24, 2007
Last updated in NPPESSeptember 24, 2007
Mailing address46641 N Black Canyon Hwy, Ste 5, New River, AZ 85087-6941