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NPI Code Detail

MEDICARE: ADAM BARTHOLOMEW TRUJILLO MD

MEDICARE: ADAM BARTHOLOMEW TRUJILLO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianLL3243NV
2207QS0010XSports Medicine (Family Medicine) Physician24329NV

General Provider Information

NPI Number : 1558920215
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM BARTHOLOMEW TRUJILLO MD
Provider Business Mailing Address
First Line : 2112 HILLSGATE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0367
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6940 OBANNON DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2122
Country : US
Telephone Number : 702-522-7760
Fax Number : 833-633-0837
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2019
Last Update Date : 06/23/2026

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Directions to “ ADAM BARTHOLOMEW TRUJILLO MD” Practice Location

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