# CLIFFORD W HEINRICH, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588781652
- **Authorized official:** DR. CLIFFORD W HEINRICH III D.O. (PHYSICIAN)
- **Authorized official phone:** (602) 954-1502

## Contact information

- **Practice address:** 2211 E HIGHLAND AVE, SUITE 105, PHOENIX, AZ 85016-4835
- **Practice address phone:** (602) 954-1502
- **Practice address fax:** (602) 954-1504
- **Mailing address:** 3031 W NORTHERN AVE, SUITE 111, PHOENIX, AZ 85051-6694
- **Mailing address phone:** (602) 246-0756
- **Mailing address fax:** (602) 246-1980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3295 | AZ | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 07/09/2010
