Individual
TIMOTHY RYAN HEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(602) 574-7254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN216979
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
329060
AZ
Other
Enumeration date
08/14/2025
Last updated
09/09/2025
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