Individual
MR. TIMOTHY JOE CARTER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 N. HIGLEY ROAD, GILBERT, AZ 85234-1604
(480) 981-2400
(480) 981-2407
Mailing address
4838 E. BASELINE ROAD, SUITE 108, MESA, AZ 85206-4672
(480) 981-2400
(480) 981-2407
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22032
TN
367500000X
Certified Registered Nurse Anesthetist
CRNA1137
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029145
—
AZ
Enumeration date
05/26/2015
Last updated
04/08/2019
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