Trent Lee Proffitt in Albuquerque - Vascular Surgery
Trent Lee Proffitt - NPI 1578513396
Trent Lee Proffitt is a Vascular Surgery in Albuquerque, New Mexico. Trent Lee Proffitt practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Trent Lee Proffitt is 1578513396. The last update date is 2015-08-06.
Trent Lee Proffitt's current location address is 502 Elm St Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058411000 and fax number 5058432956. The mailing address for Trent Lee Proffitt is 502 Elm St Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trent Lee Proffitt |
|---|---|
| Address | 502 Elm St Ne, Albuquerque, New Mexico |
| Phone Number | 5058411000 |
| Fax Number | 5058432956 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578513396 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2015-08-06 |
Provider Mailing Address Detail
| Address | 502 Elm St Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871022512 |
| Phone Number | 5058411000 |
| Fax Number | 5058432956 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | L3442 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 157817101 | TX | -- | |
| 8J3515 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Trent Lee Proffitt by the Centers for Medicare & Medicaid Services (CMS)?
The Trent Lee Proffitt has been assigned the NPI (National Provider Identifier) 1578513396. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Trent Lee Proffitt's facilities are situated?
The facilities of Trent Lee Proffitt are physically located at the following address: 502 Elm St Ne, Albuquerque, NM, 871022512.
What is Trent Lee Proffitt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Trent Lee Proffitt is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578513396 to Trent Lee Proffitt?
The Trent Lee Proffitt received its 1578513396 assignment from the Centers for Medicare & Medicaid Services on 2006-05-11.
When was the information pertaining to Trent Lee Proffitt most recently updated or revised?
The details related to Trent Lee Proffitt, including its address, specialty, and other relevant information, were last updated or revised on 2015-08-06.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA