Individual
DR. MARK W. HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10900 N SCOTTSDALE RD STE 205, SCOTTSDALE, AZ 85254-5228
(480) 664-1199
(480) 664-7853
Mailing address
10900 N SCOTTSDALE RD STE 205, SCOTTSDALE, AZ 85254-5228
(480) 664-1199
(480) 664-7853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12212
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0878800
BCBS PROVIDER NUMBER
AZ
Enumeration date
06/29/2006
Last updated
03/17/2018
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