Individual
TROY VIRGIL MAYPA TADURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
395 N SILVERBELL RD, 101, TUCSON, AZ 85745-2675
(520) 882-0696
(520) 624-0024
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(580) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
05-34185
KS
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
05-34185
KS
207Q00000X
Family Medicine Physician
05-34185
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006444
LICENSE
AZ
01
—
05-34185
LICENSE
KS
01
—
OS 9896
LICENSE
FL
Enumeration date
05/11/2007
Last updated
03/29/2016
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