TIMOTHY JORDAN CRANE

FORT DEFIANCE, AZ
NPI1427720036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy227900000X Respiratory Therapist, Registered
(Licence: AZ  044963)
Enumeration Date2021-10-01
Last Update Date2021-10-01
Business Address
TIMOTHY JORDAN CRANE
CORNER OF N7 AND N12
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000
Mailing Address
TIMOTHY JORDAN CRANE
15356 E ORCHID LN
GILBERT, AZ 85296-4412
Phone number: 480-243-6033