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NPI Code Detail

MEDICARE: HEIDI ABERSFELLER PA C

MEDICARE: HEIDI ABERSFELLER PA C
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
1363A00000XPhysician Assistant3359AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1FQ31815OTHERAZMEDICARE
2FQ31820OTHERAZMEDICARE
3FQ31813OTHERAZMEDICARE
40331815OTHERMEDICARE
5FQ31814OTHERAZMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356379754
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI ABERSFELLER PA C
Provider Business Mailing Address
First Line : PO BOX 10097
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85130-0020
Country : US
Telephone Number : 520-836-3446
Fax Number : 520-836-8807
Provider Business Practice Location Address
First Line : 865 N ARIZOLA RD
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-6011
Country : US
Telephone Number : 520-836-3446
Fax Number : 520-836-8807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 04/19/2011

Similar Medicare Providers

1871334193 — KENDALL KATHERINE HANAK PA-S
Practice Location Address:
865 N ARIZOLA RD
CASA GRANDE, AZ
85122-6011
Practice Phone: 520-836-3446
Practice Fax:
1821091984 — DANIEL CHUNG M.D.
Practice Location Address:
865 N ARIZOLA RD
CASA GRANDE, AZ
85122-6011
Practice Phone: 520-836-3446
Practice Fax: 520-836-8807
1437157153 — GREGORY WAITE D.D.S.
Practice Location Address:
865 N ARIZOLA RD
CASA GRANDE, AZ
85122-6011
Practice Phone: 520-836-3446
Practice Fax: 520-836-8807
1609899798 — ARCELIA GONZALEZ D.D.S.
Practice Location Address:
865 N ARIZOLA RD
CASA GRANDE, AZ
85122-6011
Practice Phone: 520-836-3446
Practice Fax: 520-836-8807
1710996434 — JAMES RAY LAMB NP
Practice Location Address:
865 N ARIZOLA RD
CASA GRANDE, AZ
85122-6011
Practice Phone: 520-381-3446
Practice Fax:
1689778623 — SUN LIFE FAMILY HEALTH CENTER, INC.
Practice Location Address:
865 N ARIZOLA RD
CASA GRANDE, AZ
85122-6011
Practice Phone: 520-836-3446
Practice Fax: 520-836-8807

Directions to “ HEIDI ABERSFELLER PA C” Practice Location

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