Individual
HEATHER E. MANGAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1450 S DOBSON RD, SUITE B221, MESA, AZ 85202-4712
(480) 461-1161
(480) 835-1482
Mailing address
1450 S DOBSON RD, SUITE B221, MESA, AZ 85202-4712
(480) 461-1161
(480) 835-1482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27458
AZ
Other
Enumeration date
09/25/2005
Last updated
07/08/2007
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