Organization
MICHAEL R. TRIMBLE M.D., F.A.C.S
Active
Other names
Michael R. Trimble M.D., F.A.C.S.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT TRIMBLE M.D. (GENERAL SURGEON)
(928) 704-6070
Entity
Organization
Contact information
Practice address
1514 GOLDRUSH RD, STE. A-18, BULLHEAD CITY, AZ 86442-8375
(928) 704-6070
Mailing address
1514 GOLDRUSH RD, STE. A-18, BULLHEAD CITY, AZ 86442-8375
(928) 704-6070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83012
MEDICARE PIN NUMBER
AZ
01
—
AZ99999
MUTUAL OF OMAHA PROVIDER
AZ
Enumeration date
06/11/2006
Last updated
08/22/2020
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