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Organization

HEALOGICS SPECIALTY PHYSICIANS OF ARIZONA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA MANDEL (CEO)
(904) 446-3686
Entity
Organization

Contact information

Practice address
2460 S PARKVIEW LOOP STE 205, YUMA, AZ 85364-5358
(928) 336-2030
Mailing address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
(904) 446-3686
(904) 446-3032

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
208600000X
Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
235369
AZ
Enumeration date
10/07/2015
Last updated
04/07/2026
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