Individual
AMBER HEYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
150 N PEACH ST, FRUITA, CO 81521-2229
(520) 309-0154
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
207P00000X
Emergency Medicine Physician
Primary
54433
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R75129
ARIZONA MEDICAL BOARD LICENSING NO.
AZ
Enumeration date
04/20/2015
Last updated
05/22/2019
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