Provider Demographics
NPI:1437741659
Name:TROJANOVICHMD LLC
Entity Type:Organization
Organization Name:TROJANOVICHMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:TROJANOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:303-415-4259
Mailing Address - Street 1:5495 ARAPAHOE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1225
Mailing Address - Country:US
Mailing Address - Phone:303-415-4259
Mailing Address - Fax:303-415-5249
Practice Address - Street 1:5495 ARAPAHOE AVE STE 200
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1225
Practice Address - Country:US
Practice Address - Phone:303-415-4259
Practice Address - Fax:303-415-5249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty