Healthcare Provider Details

I. General information

NPI: 1811029093
Provider Name (Legal Business Name): G BRIAN TROLLOPE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12821 N CAVE CREEK RD SUITE 101
PHOENIX AZ
85022-5862
US

IV. Provider business mailing address

12821 N CAVE CREEK RD SUITE 101
PHOENIX AZ
85022-5862
US

V. Phone/Fax

Practice location:
  • Phone: 602-493-7420
  • Fax: 602-493-2246
Mailing address:
  • Phone: 602-493-7420
  • Fax: 602-493-2246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4238
License Number StateAZ

VIII. Authorized Official

Name: DR. G BRIAN TROLLOPE
Title or Position: PRESIDENT
Credential: DC
Phone: 602-493-7420