Individual
HEATHER PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4789
AZ
363AM0700X
Medical Physician Assistant
Primary
4789
AZ
Other
Enumeration date
01/24/2011
Last updated
07/14/2021
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