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Individual

MICHAEL ROBERT TRIMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1514 GOLDRUSH RD, BULLHEAD CITY, AZ 86442-8375
(928) 704-6070
(928) 704-6072
Mailing address
1514 GOLDRUSH RD, BULLHEAD CITY, AZ 86442-8375
(928) 704-6070
(928) 704-6072

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33104
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1414832
AETNA HMO
AZ
01
2Z5220
HEALTH NET OF AZ
AZ
01
4543437
AETNA
AZ
01
874679
HEALTH CHOICE AZ
AZ
05
874679
AZ
01
874679002
ARIZONA PHYSICIANS IPA
AZ
01
AZ0762251
BCBS
AZ
Enumeration date
01/02/2007
Last updated
09/11/2008
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