Individual
HEATHER HOLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSHS, MPH
Contact information
Practice address
1626 S PRIEST DR, SUITE 104, TEMPE, AZ 85281-6204
(480) 882-7320
(480) 967-7920
Mailing address
5054 W GERONIMO ST, CHANDLER, AZ 85226-4529
(480) 205-6377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5438
AZ
Other
Enumeration date
07/22/2013
Last updated
03/18/2015
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