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HERITAGE TECHNOLOGIES LLC NPI 1114584208


NPI Information

NPI: 1114584208
Provider Name: HERITAGE TECHNOLOGIES, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1855 N STAPLEY DR
MESA, AZ
ZIP 85203
Phone: (480) 632-7942
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HERITAGE TECHNOLOGIES, LLC is a family medicine in Mesa, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HERITAGE TECHNOLOGIES, LLC NPI is 1114584208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1855 N STAPLEY DR
MESA, AZ
ZIP 85203-002
Phone: (480) 632-7942
Fax: (480) 833-8313

The provider's authorized official is Michelle Dinsdale .
The authorized official title is Executive Director and has the following contact phone number (480) 834-7546.

The enumeration date for this NPI number is 5/23/2019 and was last updated on 5/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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