Individual
DR. TIMOTHY PORTER OGRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS
Contact information
Practice address
288 N CHURCH AVE, TUCSON, AZ 85701-1113
(706) 746-7575
Mailing address
6310 N WHALEBACK PL, TUCSON, AZ 85750-0824
(706) 746-7575
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
248626
AZ
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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