Provider Demographics
NPI:1811029093
Name:G BRIAN TROLLOPE PC
Entity Type:Organization
Organization Name:G BRIAN TROLLOPE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:G
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:TROLLOPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-493-7420
Mailing Address - Street 1:12821 N CAVE CREEK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-5862
Mailing Address - Country:US
Mailing Address - Phone:602-493-7420
Mailing Address - Fax:602-493-2246
Practice Address - Street 1:12821 N CAVE CREEK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-5862
Practice Address - Country:US
Practice Address - Phone:602-493-7420
Practice Address - Fax:602-493-2246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4238111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty