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Individual

CLIFFORD W HEINRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2211 E HIGHLAND AVENUE, #105, PHOENIX, AZ 85016-4833
(602) 954-1502
(602) 954-1504
Mailing address
3031 W NORTHERN AVENUE, SUITE 111, PHOENIX, AZ 85051-6695
(602) 347-0873
(602) 246-1980

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3295
AZ

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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