Healthcare Provider Details

I. General information

NPI: 1508797960
Provider Name (Legal Business Name): CAROLYN H TRUONG DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10357 W PICCADILLY RD
AVONDALE AZ
85392-4491
US

IV. Provider business mailing address

10357 W PICCADILLY RD
AVONDALE AZ
85392-4491
US

V. Phone/Fax

Practice location:
  • Phone: 602-326-8598
  • Fax:
Mailing address:
  • Phone: 602-326-8598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: