Most Relevant Information
Provider Data
| NPI Number: | 1003295916 |
| Provider Name: | TIMOTHY JOE CARTER CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | CRNA1137 |
Most Important Dates
| Enumeration Date: | 05/26/2015 |
| Last Updated: | 04/08/2019 |
Provider Practice Location
1900 N. HIGLEY ROAD
GILBERT
AZ
852341604
Practice Location Phone/Fax
| Phone: | 4809812400 |
| Fax: | 4809812407 |
Provider Mailing Location
4838 E. BASELINE ROAD
SUITE 108
MESA
AZ
852064672
Provider Mailing Phone/Fax
| Phone: | 4809812400 |
| Fax: | 4809812407 |