Individual
TIMOTHY MERRILL LUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8141 W CAMELBACK RD # B-101, PHOENIX, AZ 85033-1050
(480) 677-8282
(480) 535-0962
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9729
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9729
ARIZONA STATE PHYSICIAN ASSISTANT LICENSE NUMBER
AZ
Enumeration date
08/01/2022
Last updated
07/03/2024
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