Individual
DR. STEVEN SAMUEL TRAIKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
19636 N 27TH AVE STE 206, PHOENIX, AZ 85027-4015
(623) 516-0930
(623) 580-9084
Mailing address
9967 E DESERT BEAUTY DR, SCOTTSDALE, AZ 85255-2579
(602) 317-9347
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
3330
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
861012817
TAX ID
AZ
01
—
AZ0884120
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/08/2006
Last updated
08/21/2019
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