| NPI Details | |
|---|---|
| NPI | 1295061430 |
| Gender | Male |
| Enumeration Date | 10/22/2009 |
| Last Updated | 12/14/2015 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 19420N 59TH AVE E500 GLENDALE AZ, 85308-6881, US |
|
| Phone | (623) 208-7575 |
| Fax | (866) 281-9664 |
| Business Location | |
|---|---|
| 19420N 59TH AVE E500 GLENDALE AZ, 85308-6881, US |
|
| Phone | (602) 639-1066 |
| Fax | (623) 486-3136 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | Arizona |
| License Number | 8663PT |
| Remove 1295061430 NPI Number | |
According to our database, Eric Hefferon P.T. NPI is 1295061430, taxonomy code is 225100000X and license number is 8663PT, license state is located at Arizona. Eric Hefferon P.T. physically located at 19420n 59th Ave E500, Glendale AZ, 85308-6881. NPI Number Eric Hefferon P.T. has the Individual type.
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1295061430 NPI number is provided on an as is basis without warranty of any kind. 1295061430 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Hefferon P.T. are for informational purposes only.
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