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

Canyon Family Medicine PLLC

Organization Family Medicine Physician · NPI 1780349902

Canyon Family Medicine PLLC is a Family Medicine Physician in Mesa, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6242 E Arbor Ave Ste 118
Mesa, AZ 85206-1309
Phone: (602) 805-4914
Fax: (602) 805-4917
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1780349902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Hafez — Founder · (602) 805-4914
Other names Canyon Family Medicine; Canyon Family Medicine
NPI enumeratedNovember 2, 2021
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address6242 E Arbor Ave Ste 118, Mesa, AZ 85206-1309

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