Individual
TYSEN TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 12TH AVE N STE 205W, BILLINGS, MT 59101-7520
(406) 254-0704
Mailing address
2900 12TH AVE N STE 205W, BILLINGS, MT 59101-7520
(406) 254-0707
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
85265
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013362862
—
MT
Enumeration date
04/29/2016
Last updated
06/17/2020
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