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Provider Information for 1700039328

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DR. HENELE E'ALE III ND

Gender: MALE

Individual NPI: 1700039328

Calendar Last Updated: 2009-02-20

Details

Name Value
NPI 1700039328
Enumeration Date 2008-10-28
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 209 E BASELINE RD SUITE E-102
TEMPE, AZ 85283-1269
United States

Phone: 480-284-8155 | Fax: 866-823-2115
View Map External Link
Primary Practice Address 209 E BASELINE RD SUITE E-102
TEMPE, AZ 85283-1269
United States

Phone: 480-284-8155 | Fax: 866-823-2115
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 175F00000X - Naturopath AZ 07-1041
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location