NPI 1104195965

Ray Bolivar, CRT

Practitioner Certified Respiratory Therapist Fort Defiance, AZ

Practice location

Address: Corner of Bia 12 and Bia 7, Fort Defiance, AZ 86504
Phone: (928) 129-3366
Mailing address: 616 S Hardy Dr Unit 203, Tempe, AZ 85281-7816

Registered specialties

Certified Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227800000X Licence 312762 (OR)

Other Respiratory Therapist, Certified providers in Arizona →

Registry record

NPI: 1104195965
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2011
Record last updated: 23 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.