person
Larry Travis Heap, PA-C
Medical Physician Assistant in Eagar, Arizona
NPI 1366418113

Larry Travis Heap is a Medical Physician Assistant based in Springerville, AZ and is specialized in Medical. Larry Travis Heap practices in Eagar, AZ and has the professional credentials of PA-C. The NPI Number for Larry Travis Heap is 1366418113 and holds a License No. 3048 (Arizona).

The current practice location address for Larry Travis Heap is 606 N Main St, Eagar, AZ and can be reached out via phone at 928-333-5333 and via fax at 928-333-5100.

Location: 606 N Main St, Eagar, AZ, 85938-1610
person
Provider Profile Details
NPI Number
1366418113
Provider Name
Larry Travis Heap
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
606 N Main St, Eagar, AZ, 85938-1610
Phone Number
928-333-5333
Fax Number
928-333-5100
Provider Enumeration Date
02/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
933467 05 AZ
institution
Provider Business Practice Location Address Details
Address
606 N Main St
City
State
Zip
85925-9813
Phone Number
928-333-5333
Fax Number
928-333-5100
person
Provider Business Mailing Address Details
Address
606 N Main St
City
State
Zip
85925-9813
Phone Number
928-333-5333
Fax Number
928-333-5100
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3048 (Arizona)
Definition
Definition to come...
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