Dr JASON P HEAVENS is a male medical professional, specializing in Family Medicine. He graduated in 1997.
HEAVENS MEDICAL PLC
95 S IDAHO RD
SUITE 140
APACHE JUNCTION
AZ
851190006
Tel: 4806461001510
| Npi | 1063781797 |
| Pac Id | 3375799810 |
| Professional Enrollment Id | I20120815000744 |
| Last Name | HEAVENS |
| First Name | JASON |
| Middle Name | P |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | HEAVENS MEDICAL PLC |
| Group Practice Pac Id | 5395991822 |
| Number Of Group Practice Members | 8 |
| Line 1 Street Address | 95 S IDAHO RD |
| Line 2 Street Address | SUITE 140 |
| Marker Of Address Line 2 Suppression | |
| City | APACHE JUNCTION |
| State | AZ |
| Zip Code | 851190006 |
| Phone Number | 4806461001510 |
| Hospital Affiliation Ccn 1 | 030088 |
| Hospital Affiliation Lbn 1 | BANNER BAYWOOD MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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