Organization
HERITAGE TECHNOLOGIES, LLC
Active
Other names
Desert Grove Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DINSDALE (EXECUTIVE DIRECTOR)
(480) 834-7546
Entity
Organization
Contact information
Practice address
1855 N STAPLEY DR, MESA, AZ 85203-3002
(480) 834-7546
(480) 833-8313
Mailing address
1855 N STAPLEY DR, MESA, AZ 85203-3002
(480) 834-7546
(480) 833-8313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
633795
—
AZ
Enumeration date
05/09/2006
Last updated
11/26/2024
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