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Individual

EVELYN HEIGH-ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
5620 W THUNDERBIRD RD, GLENDALE, AZ 85306-4636
(602) 938-6960
(602) 938-6069
Mailing address
5620 W THUNDERBIRD RD STE G2, GLENDALE, AZ 85306-4652
(886) 986-7278

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
847
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
847
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
N/A
Enumeration date
04/20/2014
Last updated
03/30/2021
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