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Mrs. Crystal Marie Heiligenthal, PA
Medical Physician Assistant in Glendale, Arizona
NPI 1487805628

Crystal Marie Heiligenthal is a Medical Physician Assistant based in Phoenix, AZ and is specialized in Medical. Crystal Marie Heiligenthal practices in Glendale, AZ and has the professional credentials of PA. The NPI Number for Crystal Marie Heiligenthal is 1487805628 and holds a License No. 4296 (Arizona).

The current practice location address for Crystal Marie Heiligenthal is 6320B W Union Hills Dr, Glendale, AZ and can be reached out via phone at 623-561-9113 and via fax at 623-561-6148.

Location: 6320B W Union Hills Dr, Glendale, AZ, 85027-4171
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Provider Profile Details
NPI Number
1487805628
Provider Name
Crystal Marie Heiligenthal
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
6320B W Union Hills Dr, Glendale, AZ, 85027-4171
Phone Number
623-561-9113
Fax Number
623-561-6148
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4296 01 AZ LICENSE
institution
Provider Business Practice Location Address Details
Address
6320B W Union Hills Dr
City
State
Zip
85308-1376
Phone Number
623-561-9113
Fax Number
623-561-6148
person
Provider Business Mailing Address Details
Address
6320B W Union Hills Dr
City
State
Zip
85308-1376
Phone Number
623-561-9113
Fax Number
623-561-6148
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4296 (Arizona)
Definition
Definition to come...
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