ANDREW RUSSELL HEATH

Address: 2322 W Northern Ave, Phoenix, AZ 85021-4935
Phone: 6022424930

ANDREW RUSSELL HEATH (NPI# 1417060914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417060914
Entity Type 1 - Individual
Full Name ANDREW RUSSELL HEATH
Credential DC
Practice Address 2322 W Northern Ave
Phoenix
AZ 85021-4935
Mailing Address 1745 W Laurie Ln
Phoenix
AZ 85021-5258
Practice Telephone 6022424930
Enumeration Date 08/17/2006
Last Update Date 07/08/2007
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 3884 AZ Chiropractic Providers

Office Location

Street Address 2322 W NORTHERN AVE
City PHOENIX
State AZ
Zip Code 85021-4935

Competitor

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City PHOENIX
Zip Code 85021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.