AMBER SHARP HEISE

TAYLORSVILLE, UT
NPI1013077478
Former NameAMBER SHARP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  7293442-1205)
Additional Taxonomies208000000X Pediatrics
(Licence: TX  M4143)
208000000X Pediatrics
(Licence: CA  A111138)
208000000X Pediatrics
(Licence: ND  12079)
Enumeration Date2006-12-08
Last Update Date2014-05-20
Business Address
-- AMBER SHARP HEISE MD
4745 S 3200 W
TAYLORSVILLE, UT 84129-2822
Phone number: 801-964-6124
Mailing Address
-- AMBER SHARP HEISE MD
4745 S 3200 W
TAYLORSVILLE, UT 84129-2822
Phone number: 801-964-6124