TRAIKOVICH COSMETIC SURGERY P.C. NPI 1194997262

NPI Information

NPI: 1194997262
Provider Name: TRAIKOVICH COSMETIC SURGERY, P.C.
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
19636 N 27TH AVE
STE 206
PHOENIX, AZ
ZIP 85027
Phone: (623) 516-0930
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TRAIKOVICH COSMETIC SURGERY, P.C. is a facial plastic surgery otolaryngology in Phoenix, AZ. The provider is an otolaryngologist who specializes in facial plastic surgery. TRAIKOVICH COSMETIC SURGERY, P.C. NPI is 1194997262. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19636 N 27TH AVE
STE 206
PHOENIX, AZ
ZIP 85027-015
Phone: (623) 516-0930
Fax: (623) 580-9084

The provider's authorized official is Susan Lorraine Traikovich .
The authorized official title is Administrator and has the following contact phone number (602) 317-9347.

The enumeration date for this NPI number is 3/29/2008 and was last updated on 9/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery		ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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