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Individual

DAX K TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(928) 537-6700
(928) 537-9581
Mailing address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(928) 537-6700
(928) 537-9581

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
31549
AZ
208VP0000X
Pain Medicine Physician
Primary
31549
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
934613
AZ
Enumeration date
11/17/2006
Last updated
04/12/2024
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