Organization
HEAVENS MEDICAL PLC
Active
Organization
HEAVENS MEDICAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON PERNELL HEAVENS MD (PRESIDENT)
(480) 399-6440
Entity
Organization
Contact information
Practice address
4450 S RURAL RD STE A210, TEMPE, AZ 85282-5587
(623) 444-2734
Mailing address
105 S DELAWARE DR STE 1, APACHE JUNCTION, AZ 85120-6512
(623) 444-2734
(623) 444-2784
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/14/2012
Last updated
11/13/2025
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