Provider Demographics
NPI:1508065160
Name:BRIAN TRAINOR, DO, PLLC
Entity Type:Organization
Organization Name:BRIAN TRAINOR, DO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:TRAINOR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-945-6100
Mailing Address - Street 1:3600 N HAYDEN RD APT 2716
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-4728
Mailing Address - Country:US
Mailing Address - Phone:480-945-6100
Mailing Address - Fax:480-945-6168
Practice Address - Street 1:3501 N SCOTTSDALE RD STE 142
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5632
Practice Address - Country:US
Practice Address - Phone:480-945-6100
Practice Address - Fax:480-945-6168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4162207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ104098Medicare PIN