Individual
GRANT W HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6007 E BASELINE RD STE 101, MESA, AZ 85206-4801
(480) 833-3698
(480) 833-3735
Mailing address
6007 E BASELINE RD STE 101, MESA, AZ 85206-4801
(480) 833-3698
(480) 833-3735
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24590
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373720
AHCCCS
AZ
Enumeration date
01/18/2006
Last updated
12/14/2015
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