Individual
HEIDI GABRIELLE GRODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-3000
Mailing address
1400 S DOBSON RD, MESA, AZ 85202-4707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11523
AZ
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
01/27/2026
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