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Individual

MRS. MARTHA K HEER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSA

Contact information

Practice address
1501 W FRIER DR, GLENDALE, AZ 85312-5343
(602) 320-4428
(602) 237-6463
Mailing address
PO BOX 5343, GLENDALE, AZ 85312-5343
(602) 320-4428
(602) 237-6463

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
2521
AZ
363AS0400X
Surgical Physician Assistant
Primary
AZ

Other

Enumeration date
11/02/2005
Last updated
11/04/2018
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