Individual
JERRY TRAVIS CRESPO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
405 N BEAVER ST STE 4, FLAGSTAFF, AZ 86001-4500
(928) 214-0907
(928) 222-0008
Mailing address
215 SHUMAN BLVD STE 401, NAPERVILLE, IL 60563-8123
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADR10827
AZ
Other
Enumeration date
10/03/2017
Last updated
03/17/2018
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