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

Black Canyon Medical LLC

Organization Family Medicine Physician · NPI 1164619821

Black Canyon Medical LLC is a Family Medicine Physician in Mayer, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17301 E Spring Valley Rd
Mayer, AZ 86333-4263
Phone: (928) 632-4909
Fax: (928) 632-4973
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 3297 (AZ)

Record details

NPI number1164619821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Malin — Provider · (928) 710-5851
Other names Malin Medical, Llc
NPI enumeratedSeptember 26, 2007
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020
Mailing address17301 E Spring Valley Rd Ste F, Mayer, AZ 86333-4263

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