Healthcare Provider Details

I. General information

NPI: 1598692824
Provider Name (Legal Business Name): HEATH RICHARD PYLE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18933 E SAN TAN BLVD STE 117
QUEEN CREEK AZ
85142-2000
US

IV. Provider business mailing address

18933 E SAN TAN BLVD STE 117
QUEEN CREEK AZ
85142-2000
US

V. Phone/Fax

Practice location:
  • Phone: 480-648-8120
  • Fax:
Mailing address:
  • Phone: 480-648-8120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLAC-08445T
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: