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NPI Code Detail

MEDICARE: HEIDI U RULA MD

MEDICARE:   HEIDI U RULA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician23893AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023095742
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI U RULA MD
Provider Business Mailing Address
First Line : PO BOX 6423
Second Line :
City : CHANDLER
State : AZ
Zip : 85246-6423
Country : US
Telephone Number : 480-821-2838
Fax Number : 480-821-9444
Provider Business Practice Location Address
First Line : 685 S DOBSON ROAD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-5665
Country : US
Telephone Number : 480-821-2838
Fax Number : 480-821-9444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 11/14/2022

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Directions to “ HEIDI U RULA MD” Practice Location

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