Individual
DR. TRENT DAMIAN TRZPUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN REGIONAL MEDICAL CENTERS PATHOLOGY DEPT., AIKEN, SC 29801-6302
(803) 641-5172
(803) 641-5140
Mailing address
302 UNIVERSITY PKWY, PATHOLOGY DEPT, AIKEN, SC 29801-6302
(803) 641-5172
(803) 641-5140
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
30472
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
44945-020
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
TL30472
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30472
SOUTH CAROLINA MEDICAL LICENSE PERMANENT
SC
05
—
304726
—
SC
05
—
34614900
—
WI
01
—
TL30472
SOUTH CAROLINA MEDICAL LICENSE TEMPORARY
SC
Enumeration date
02/28/2006
Last updated
11/09/2015
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