Individual
DR. JASON PERNELL HEAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4450 S RURAL RD STE A210, TEMPE, AZ 85282-5587
(623) 444-2734
(623) 444-2784
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
207P00000X
Emergency Medicine Physician
44336
AZ
207Q00000X
Family Medicine Physician
Primary
44336
AZ
Other
Enumeration date
12/27/2011
Last updated
11/13/2025
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