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Organization
HEALOGICS SPECIALTY PHYSICIANS OF ARIZONA LLC
Active
Organization
HEALOGICS SPECIALTY PHYSICIANS OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA MANDEL (CEO)
(904) 446-3686
Entity
Organization
Contact information
Practice address
2460 S PARKVIEW LOOP STE 205, YUMA, AZ 85364-5358
(928) 336-2030
Mailing address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
(904) 446-3686
(904) 446-3032
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235369
—
AZ
Enumeration date
10/07/2015
Last updated
04/07/2026
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