Individual
TIMOTHY PATRICK HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10442
AZ
363A00000X
Physician Assistant
1668
NH
Other
Enumeration date
10/28/2020
Last updated
05/08/2025
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