Individual
DR. MICHAEL ANGELO TRUJILLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 W FOREST AVE, STE 210, FLAGSTAFF, AZ 86001-1479
(928) 773-2547
(928) 773-2548
Mailing address
77 W FOREST AVE, STE 210, FLAGSTAFF, AZ 86001-1479
(928) 773-2547
(928) 773-2548
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19201
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298572
—
AZ
Enumeration date
04/19/2006
Last updated
07/08/2007
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