Individual
DR. GREGORY HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
Mailing address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
0102206528
VA
207Q00000X
Family Medicine Physician
Primary
006017
AZ
207Q00000X
Family Medicine Physician
R1704
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1704
TRAINING PERMIT
AZ
Enumeration date
07/01/2009
Last updated
04/30/2021
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