Individual provider · Type 1 NPI
Heather Diane Hargrave, PA-S
Medical Physician Assistant · Phoenix, AZ
NPI number
1215404652
Active
Practice location
635 E Baseline Rd
Phoenix, AZ 85042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 7586 (AZ) |
Medical Physician Assistant: Definition to come...
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About NPI 1215404652
Heather Diane Hargrave, PA-S's National Provider Identifier is 1215404652, issued on Oct 24, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 11, 2019.