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

Grand Canyon University

Organization Family Medicine Physician · NPI 1124501069

Grand Canyon University is a Family Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018

Practice location Address checks out

3300 W Camelback Rd Health Ctr
Phoenix, AZ 85017-1097
Phone: (602) 639-6215
Fax: (602) 639-7830
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 OTC9096 (AZ)

Record details

NPI number1124501069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constance Colbert — Director · (602) 639-7757
Other names Grand Canyon Education, Inc
NPI enumeratedSeptember 6, 2018
Last updated in NPPESFebruary 6, 2021
Certification dateFebruary 6, 2021
Mailing address3300 W Camelback Rd, Health Center, Phoenix, AZ 85017-1097

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