Individual
JIMMY CREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT-NPS, RPFT
Contact information
Practice address
167 N. MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2596
Mailing address
3705 N STEVES BLVD, FLAGSTAFF, AZ 86004-6842
(928) 714-0746
Taxonomy
Speciality
Code
Description
License number
State
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
Primary
5409
AZ
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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