Individual
TIMOTHY TROY HOLBERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2222 E HIGHLAND AVE, SUITE 400, PHOENIX, AZ 85016-4872
(602) 667-7900
(602) 667-7993
Mailing address
PO BOX 12546, GLENDALE, AZ 85083
(623) 229-4674
(623) 533-3470
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2021
AZ
Other
Enumeration date
01/17/2006
Last updated
08/26/2015
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