Individual
HEATHER O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13965 N. 75TH AVENUE, PEORIA, AZ 85381-6097
(602) 843-2991
(602) 978-1226
Mailing address
13965 N. 75TH AVENUE, PEORIA, AZ 85381-6097
(602) 843-2991
(602) 978-1226
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6266
AZ
Other
Enumeration date
10/15/2015
Last updated
07/01/2019
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