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NPI Code Detail

MEDICARE: DR. HEATHER KAY O'TOOLE M.D.

MEDICARE: DR. HEATHER KAY O'TOOLE M.D.
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 Physician35759AZ
2207Q00000XFamily Medicine Physician2010018310MO

General Provider Information

NPI Number : 1992797880
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER KAY O'TOOLE M.D.
Provider Business Mailing Address
First Line : 2500 W UTOPIA RD STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-4172
Country : US
Telephone Number : 602-214-6148
Fax Number : 602-214-6149
Provider Business Practice Location Address
First Line : 4131 N 24TH ST
Second Line : #B102
City : PHOENIX
State : AZ
Zip : 85016-6262
Country : US
Telephone Number : 602-955-6632
Fax Number : 602-381-1341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 05/27/2026

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Directions to “ DR. HEATHER KAY O'TOOLE M.D.” Practice Location

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