Individual
JOHN MARK HEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10150 N 67TH AVE, SUITE 101, GLENDALE, AZ 85302-1004
(623) 561-4547
(632) 412-4995
Mailing address
10150 N 67TH AVE, SUITE 101, GLENDALE, AZ 85302-1004
(623) 561-4547
(632) 412-4995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7010
AZ
Other
Enumeration date
07/27/2005
Last updated
11/10/2010
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