Individual
HEATHER RUTH CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2902 EAST GRANT ROAD, TUCSON, AZ 85716-2742
(520) 322-8361
(520) 322-8462
Mailing address
2902 EAST GRANT ROAD, 90 MDG, TUCSON, AZ 85716-2742
(520) 322-8361
(520) 322-8462
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
30265
AZ
208000000X
Pediatrics Physician
30265
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431374
—
AZ
Enumeration date
09/20/2005
Last updated
10/29/2013
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