Individual
HEATHER DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 E HIGHLAND AVE STE 400, PHOENIX, AZ 85016-4880
(602) 277-4868
(602) 230-9350
Mailing address
1760 E RIVER RD STE 350, TUCSON, AZ 85718-5999
(520) 519-7775
(520) 519-7910
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
51762
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154266
—
AZ
01
—
51762
AZ MEDICAL LICENSE
AZ
Enumeration date
07/17/2008
Last updated
02/13/2020
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