Individual
HEATHER KINNAMON DIRKMAAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
20062 ELLSWORTH RD, BUILDING B, QUEEN CREEK, AZ 85142
(303) 210-0662
Mailing address
20062 ELLSWORTH RD, BUILDING B, QUEEN CREEK, AZ 85142
(303) 210-0662
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23-1779
AZ
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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