MEDICARE: DR. BRIAN E TRAINOR DO

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	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	4162	AZ

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	:	1942292024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN E TRAINOR DO

Provider Business Mailing Address
First Line	:	4827 W SADDLEHORN RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85083-2219
Country	:	US
Telephone Number	:	480-945-6100
Fax Number	:	623-266-7784

Provider Business Practice Location Address
First Line	:	3420 S MERCY RD
Second Line	:	STE 107
City	:	GILBERT
State	:	AZ
Zip	:	85297-0419
Country	:	US
Telephone Number	:	480-214-9000
Fax Number	:	480-214-9999

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/03/2013

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