Healthcare Provider Details

I. General information

NPI: 1861417271
Provider Name (Legal Business Name): HEATHER M BARTZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER M. BUCHANAN DO

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 01/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MCDOWELL RD INTERNAL MEDICINE DEPARTMENT
PHOENIX AZ
85006-2612
US

IV. Provider business mailing address

1111 E MCDOWELL RD INTERNAL MEDICINE DEPARTMENT
PHOENIX AZ
85006-2612
US

V. Phone/Fax

Practice location:
  • Phone: 602-239-2296
  • Fax: 602-239-2084
Mailing address:
  • Phone: 602-239-2296
  • Fax: 602-239-2084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4376
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4376
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: