Individual
DR. JASON ERIC TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 LOMAS BLVD NE, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87106-2745
(505) 272-4865
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 999-8071
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD2014-0752
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2014-0752
STATE MEDICAL LICENSE
NM
Enumeration date
06/14/2010
Last updated
10/24/2014
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