Organization
MI DOCTORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HARNER (CREDENTIALING)
(480) 821-3610
Entity
Organization
Contact information
Practice address
1142 E SOUTHERN AVE STE C101, MESA, AZ 85204-5055
(480) 782-7380
(480) 821-3610
Mailing address
2545 W FRYE RD STE 5, CHANDLER, AZ 85224-6273
(480) 821-3610
(480) 821-3610
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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