Organization · NPI-2
Michael R. Trimble M.D., F.A.C.S
Surgery · Bullhead City, AZ
NPI number1497797948
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1497797948
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael R. Trimble M.D., F.A.C.S
- Organization subpart
- No
- Enumeration date
- Jun 11, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 33104 | AZ | Yes |
Other names
- Michael R. Trimble M.D., F.A.C.S. (Doing Business As)
Practice location
1514 Goldrush RdSte. A-18
Bullhead City, AZ 86442-8375
Phone 928-704-6070
Mailing address
1514 Goldrush RdSte. A-18
Bullhead City, AZ 86442-8375
Phone 928-704-6070
Authorized official
Michael Robert Trimble
General Surgeon
9287046070
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