Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DS029906L | PA |
NPI | 1205848181 |
---|---|
Provider Name | Dr. Gerald Walter Trkula |
First Address | Phoenix, AZ 85012-1839 |
Second Address | Phoenix, AZ 85012-1839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 08/07/2007 |