Individual
MRS. HEATHER ANN NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
202 WALTON WAY, STE 192 PMB 514, CEDAR PARK, TX 78613-4306
(253) 306-8730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2648
WV
363A00000X
Physician Assistant
7212
WI
363A00000X
Physician Assistant
PA10358
TX
363A00000X
Physician Assistant
PA2020-0044
NM
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-103548
MT
Other
Enumeration date
08/06/2014
Last updated
01/08/2025
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