Ray Bolivar, CRT
NPI #1104195965 in Fort Defiance, Arizona
Provider Information
- NPI Number
- 1104195965
- Entity Type
- Individual
- Name
- Ray Bolivar, CRT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Respiratory Therapist, Certified
- Credential
- CRT
- Enumeration Date
- Dec 23, 2011
- Last Updated
- Dec 23, 2011
Practice Location
- Address
- CORNER OF BIA 12 AND BIA 7
- City
- Fort Defiance
- State
- Arizona
- ZIP Code
- 86504
- Phone
- (928) 129-3366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respiratory Therapist, Certified |
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