Individual
HEATHER A COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
16841 N. 31ST AVE, STE. 134, PHOENIX, AZ 85053-3051
(623) 322-5001
(623) 322-8996
Mailing address
16841 N. 31ST AVE, STE. 134, PHOENIX, AZ 85053-3051
(623) 322-5001
(623) 322-8996
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0552
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00208444
RAILROAD MEDICARE
AZ
01
—
Z78990
MEDICARE ID-PIN
AZ
Enumeration date
06/16/2005
Last updated
02/26/2008
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