Don B. Headley
Plastic Surgeon (Head & Neck)
500 W Thomas Rd Suite 900
Phoenix
, Arizona 85013-4224
Don B. Headley
Plastic Surgeon (Head & Neck)
500 W Thomas Rd Suite 900
Phoenix
, Arizona 85013-4224
(602) 406-6132
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Don B. Headley
- File 56765
- Los Angeles, CA
- Zip : 90074-6765
- Fax : (602) 406-6132
- Phone : (602) 406-3860
Second Address
- Don B. Headley
- 500 W Thomas Rd Suite 900
- Phoenix, AZ
- Zip : 85013-4224
- Fax : (602) 406-7186
- Phone : (602) 406-3540
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 22079 | AZ |
National Provider Identifier
| NPI | 1578550398 |
|---|---|
| Provider Name | Don B. Headley |
| First Address | Los Angeles, CA 90074-6765 |
| Second Address | Phoenix, AZ 85013-4224 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2005 |
| Last Update Date | 14/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 165151 | (05) | AZ |
| AZ0779380 | BLUE CROSS BLUE SHIELD (01) | AZ |
| P00452179 | MEDICARE RAILROAD (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.