Individual
MR. CHAD A TRUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 GOVERNORS DR SW FL 1, HUNTSVILLE, AL 35801-5171
(256) 533-1600
(256) 539-0856
Mailing address
201 GOVERNORS DR SW FL 1, HUNTSVILLE, AL 35801-5171
(256) 801-6049
(256) 539-0856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9105021
FL
363AS0400X
Surgical Physician Assistant
Primary
PA.352
AL
363AS0400X
Surgical Physician Assistant
PA9105021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002349600
—
FL
01
—
P01024462
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
08/09/2005
Last updated
03/05/2019
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