Provider Demographics
NPI:1992756688
Name:TROJANOWSKI, DEBORAH ANN (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:TROJANOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10617 N HAYDEN RD
Mailing Address - Street 2:B102
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5578
Mailing Address - Country:US
Mailing Address - Phone:480-481-0133
Mailing Address - Fax:480-949-8198
Practice Address - Street 1:10617 N HAYDEN RD
Practice Address - Street 2:B102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5578
Practice Address - Country:US
Practice Address - Phone:480-481-0133
Practice Address - Fax:480-949-8198
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13112174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD00461Medicare UPIN