Individual
TIMOTHY DAVID TROJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 N VAN BUREN ST, SUITE 350, ENID, OK 73703-1812
(580) 366-0844
(580) 297-5197
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
29671
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200572740B
—
OK
01
—
323602ZQR2
MEDICARE PTAN
OK
Enumeration date
05/31/2008
Last updated
10/31/2023
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