Individual
DR. STEVEN PAUL HEAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
39 E 1ST STREET, EAGAR, AZ 85925-9664
(928) 333-4396
(928) 333-5050
Mailing address
39 E 1ST STREET, EAGAR, AZ 85925-9664
(928) 333-4396
(928) 333-5050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
523
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071
—
AZ
01
—
5219420001
DMERC SUPPLIER
AZ
Enumeration date
09/20/2005
Last updated
10/10/2008
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