Individual provider · Type 1 NPI

Timothy Durr Jr.

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1710674452 Active

Practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Call (602) 344-5011 Map

Mailing address

2601 E Roosevelt
Phoenix, AZ 85008-4973

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XR4105 (AZ)
Child & Adolescent Psychiatry Physician 2084P0804X012644 (AZ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710674452

Timothy Durr Jr.'s National Provider Identifier is 1710674452, issued on Apr 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 1, 2026.