Individual
MRS. CHRISTINE KAY HEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPAS
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 546-1900
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 546-1900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4976
AZ
Other
Enumeration date
10/18/2011
Last updated
02/12/2013
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