Individual
TRENT R TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3420 S MERCY RD STE 107, GILBERT, AZ 85297-0420
(480) 551-0300
(480) 649-3746
Mailing address
PO BOX 2767, SCOTTSDALE, AZ 85252-2767
(480) 551-0300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5829
AZ
363AS0400X
Surgical Physician Assistant
Primary
5829
AZ
Other
Enumeration date
09/15/2014
Last updated
05/12/2025
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