Individual
BRAIDEN HEAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3420 S MERCY RD STE 200, GILBERT, AZ 85297-0423
(480) 909-3788
(480) 728-8191
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
63449
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A167919
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
11/11/2024
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