Individual
CLYDE IRONS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(928) 684-4368
Mailing address
10825 N 43RD ST, PHOENIX, AZ 85028-3505
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
010739
AZ
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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