Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 48859 | AZ |
NPI | 1396040713 |
---|---|
Provider Name | Zola Trotter |
First Address | Phoenix, AZ 85008-4973 |
Second Address | Phoenix, AZ 85008-4973 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2011 |
Last Update Date | 04/09/2014 |