Provider Demographics
NPI:1942664206
Name:ANDELORA, HEATHER J (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:J
Last Name:ANDELORA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:J
Other - Last Name:SILCOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6831 N ORACLE RD
Mailing Address - Street 2:STE 133
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4266
Mailing Address - Country:US
Mailing Address - Phone:520-887-6550
Mailing Address - Fax:520-887-5838
Practice Address - Street 1:6831 N ORACLE RD
Practice Address - Street 2:STE 133
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4266
Practice Address - Country:US
Practice Address - Phone:520-887-6550
Practice Address - Fax:520-887-5838
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor