Organization
HOLLARMANGAM PC
Active
Other names
East Valley OB GYN
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MANGAM M.D. (OWNER)
(480) 461-1161
Entity
Organization
Contact information
Practice address
1450 S DOBSON ROAD, B221, MESA, AZ 85202
(480) 461-1161
(480) 835-1482
Mailing address
1450 S DOBSON ROAD, B221, MESA, AZ 85202
(480) 461-1161
(480) 835-1482
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
27458
AZ
207VX0000X
Obstetrics Physician
27458
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472366
—
AZ
05
—
522799
—
AZ
05
—
F14738
—
AZ
Enumeration date
05/03/2007
Last updated
09/11/2025
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