Individual
TIMOTHY JORDAN CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CORNER OF N7 AND N12, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
15356 E ORCHID LN, GILBERT, AZ 85296-4412
(480) 243-6033
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
044963
AZ
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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