Individual provider · Type 1 NPI
Andrew Russell Heath, DC
Chiropractor · Phoenix, AZ
NPI number
1417060914
Active
Practice location
2322 W Northern Ave
Phoenix, AZ 85021-4935
Mailing address
1745 W Laurie Ln
Phoenix, AZ 85021-5258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3884 (AZ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1417060914
Andrew Russell Heath, DC's National Provider Identifier is 1417060914, issued on Aug 17, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.