Provider Demographics
NPI:1245219674
Name:TOMPKINS, TROY M (MD)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:M
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 N FORBES BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-1412
Mailing Address - Country:US
Mailing Address - Phone:520-873-6200
Mailing Address - Fax:520-873-6222
Practice Address - Street 1:8290 S HOUGHTON RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-9723
Practice Address - Country:US
Practice Address - Phone:520-873-6200
Practice Address - Fax:520-873-6222
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29115207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ573651Medicare PIN
H36908Medicare UPIN
65631Medicare UPIN