Family Medicine
BLACK CANYON MEDICAL L.L.C.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164619821 · enumerated 2007-09-26 · record updated 2020-03-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KERRY MALIN PA, Provider · (928) 710-5851
Other names: MALIN MEDICAL, LLC
Addresses and phones
- Practice location 17301 E SPRING VALLEY RD, MAYER, AZ, 86333-4263 (928) 632-4909 Fax (928) 632-4973 Google Maps Apple Maps OpenStreetMap
- Mailing address 17301 E SPRING VALLEY RD STE F, MAYER, AZ, 86333-4263 (928) 710-5851 Fax (928) 632-4973 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 3297 AZ
In this directory
Locations and evidence
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Practice location
MAYER, AZ, 863334263
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.