Provider Demographics
NPI:1376234609
Name:TROJAN PEDIATRICS, LLC
Entity Type:Organization
Organization Name:TROJAN PEDIATRICS, LLC
Other - Org Name:KIDS FIRST PEDIATRICS- TROY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:STROGOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-997-5900
Mailing Address - Street 1:657 TROJAN PKWY
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36079-0002
Mailing Address - Country:US
Mailing Address - Phone:334-934-5437
Mailing Address - Fax:
Practice Address - Street 1:657 TROJAN PKWY
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36079-0002
Practice Address - Country:US
Practice Address - Phone:334-934-5437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty