Search › Arizona › 183500000X
Keith Van Heise, PHARM D
NPI 1508995994 · on the registry since 2007 · sole proprietor
Practice
- Address
- 12906 W Wilshire Dr
Avondale, AZ 85323 - Phone
- (602) 740-6984
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona