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Organization

WEST MCDOWELL HEALTH CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK HEENAN DO (PHYSICIAN)
(602) 824-4900
Entity
Organization

Contact information

Practice address
5030 W MCDOWELL RD STE 6, PHOENIX, AZ 85035-3946
(602) 824-4900
(602) 824-4912
Mailing address
5030 W MCDOWELL RD STE 6, PHOENIX, AZ 85035-3946
(602) 824-4900
(602) 824-4912

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3051
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
341735
AZ
Enumeration date
09/12/2012
Last updated
01/15/2013
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