Individual
DR. HEATHER HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2501 E SOUTHERN AVE STE 18, TEMPE, AZ 85282-7667
(480) 830-8333
Mailing address
2250 W SOUTHERN AVE STE 102, MESA, AZ 85202-4736
(480) 830-8333
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
011291
AZ
207N00000X
Dermatology Physician
83764
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011291
OSTEOPATHIC PHYSICIAN AND SURGEON
AZ
01
—
6193
OSTEOPATHIC PHYSICIAN AND SURGEON
OK
01
—
83764
OSTEOPATHIC PHYSICIAN AND SURGEON
GA
Enumeration date
07/02/2008
Last updated
12/27/2024
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