MEDICARE: SARAH TALIAFERRO TRUITT M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	40597	CO
2	207V00000X	Obstetrics & Gynecology Physician	MEDS7042	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811971427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH TALIAFERRO TRUITT M.D.

Provider Business Mailing Address
First Line	:	7033 E TUDOR RD STE 1800
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-1262
Country	:	US
Telephone Number	:	907-729-9989
Fax Number	:	907-729-5180

Provider Business Practice Location Address
First Line	:	4441 DIPLOMACY DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5910
Country	:	US
Telephone Number	:	907-729-3100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	01/24/2025

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