Individual
HELY ESAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
334 W 10TH PL STE 100, MESA, AZ 85201-3499
(407) 723-9787
Mailing address
3877 N 7TH ST, PHOENIX, AZ 85014-5072
(407) 723-9787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
699PA
PR
363AM0700X
Medical Physician Assistant
8516
AZ
Other
Enumeration date
05/17/2021
Last updated
05/05/2025
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