Trujillo, Michael Angelo

Trujillo, Michael Angelo is an individual health care provider with primary practice located at 77 W Forest Ave Ste 210, Flagstaff AZ 86001-1479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Trujillo, Michael Angelo can be contacted via phone (928) 773-2547.

Contact Information

Primary practice address
77 W Forest Ave Ste 210 Flagstaff AZ 86001-1479
Fax: (928) 773-2548
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 19201 Arizona

Profile Details

NPI number 1467417824
LBN Legal business name Trujillo, Michael Angelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467417824 NPPES
Arizona MEDICAID 298572

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