Provider Demographics
NPI:1295947059
Name:DUFFY, JOHN P (CCP)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:P
Last Name:DUFFY
Suffix:
Gender:M
Credentials:CCP
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7341 N CAMINO SIN VACAS
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1250
Mailing Address - Country:US
Mailing Address - Phone:520-626-6339
Mailing Address - Fax:
Practice Address - Street 1:500 W THOMAS RD STE 460
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4219
Practice Address - Country:US
Practice Address - Phone:623-512-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist