Steven Samuel Traikovich in Phoenix - Otolaryngology/facial Plastic Surgery

Steven Samuel Traikovich - NPI 1669576948

Steven Samuel Traikovich is a Otolaryngology/facial Plastic Surgery in Phoenix, Arizona. Steven Samuel Traikovich practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Steven Samuel Traikovich is 1669576948. The last update date is 2019-08-21.

Steven Samuel Traikovich's current location address is 19636 N 27th Ave Ste 206, Phoenix, Arizona. You can contact this provider via phone number 6235160930 and fax number 6235809084. The mailing address for Steven Samuel Traikovich is 19636 N 27th Ave Ste 206, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven Samuel Traikovich
Address 19636 N 27th Ave Ste 206, Phoenix, Arizona
Phone Number 6235160930
Fax Number 6235809084
Sole Proprietor Y
Credentials D.O

NPI Number Detail

NPI Number 1669576948
Provider Enumeration Date 2006-09-08
Last Updated Date 2019-08-21

Provider Mailing Address Detail

Address 19636 N 27th Ave Ste 206
City Phoenix
State Arizona (AZ)
Post Code 850274015
Phone Number 6235160930
Fax Number 6235809084

Provider's Primary Taxonomy Detail

Speciality Otolaryngology/facial Plastic Surgery
Taxonomy 207Yx0905X
Licence No 3330
Definition:
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
861012817 AZ TAX ID
AZ0884120 AZ BLUE CROSS BLUE SHIELD

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FAQs about Steven Samuel Traikovich

What is the unique provider identifier assigned to Steven Samuel Traikovich?

The Steven Samuel Traikovich has been issued the NPI (National Provider Identifier) 1669576948 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Steven Samuel Traikovich is physically located?

The Steven Samuel Traikovich is physically situated at the following address: 19636 N 27Th Ave Ste 206, Phoenix, AZ, 850274015.

What is the area of specialization for Steven Samuel Traikovich, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Steven Samuel Traikovich is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Yx0905X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1669576948 to Steven Samuel Traikovich?

The Centers for Medicare & Medicaid Services originally issued the 1669576948 to Steven Samuel Traikovich on 2006-09-08.

When was the information regarding Steven Samuel Traikovich most recently updated?

The details pertaining to the Steven Samuel Traikovich, including its address, specialty, and other relevant information, were last refreshed on 2019-08-21.

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