Provider Demographics
NPI:1508817594
Name:TRUXAL, ANTHONY ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:ROBERT
Last Name:TRUXAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2245 S 19TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2945
Mailing Address - Country:US
Mailing Address - Phone:253-572-1444
Mailing Address - Fax:253-830-2528
Practice Address - Street 1:2245 S 19TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2945
Practice Address - Country:US
Practice Address - Phone:253-572-1444
Practice Address - Fax:253-830-2528
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2024-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00024508207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8895606OtherPTAN
WAH46073Medicare UPIN
WA8871132Medicare PIN