Individual
DR. VICTOR F TRASTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
23750
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330004786
RAILROAD MEDICARE
AZ
05
—
445850
—
AZ
01
—
86080015085259A482
TRIWEST
AZ
Enumeration date
09/22/2005
Last updated
02/01/2013
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