Individual
MR. MICHAEL E TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST
Contact information
Practice address
201 CEDAR ST SE STE 6600, ALBUQUERQUE, NM 87106-5411
(505) 724-4300
(505) 724-4384
Mailing address
201 CEDAR ST SE STE 6600, ALBUQUERQUE, NM 87106-5411
(505) 724-4300
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89709
CST CERTIFICATE NO
—
Enumeration date
01/02/2007
Last updated
07/16/2013
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