Individual
CASSANDRA OLIVIA HEISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
5748 W ANGELA DR, GLENDALE, AZ 85308-3833
(816) 797-7099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10201
AZ
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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