Provider Demographics
NPI:1942292024
Name:TRAINOR, BRIAN E (DO)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:E
Last Name:TRAINOR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4827 W SADDLEHORN RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85083-2219
Mailing Address - Country:US
Mailing Address - Phone:480-945-6100
Mailing Address - Fax:623-266-7784
Practice Address - Street 1:3420 S MERCY RD
Practice Address - Street 2:STE 107
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-0419
Practice Address - Country:US
Practice Address - Phone:480-214-9000
Practice Address - Fax:480-214-9999
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4162207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ920224Medicaid
H12109Medicare UPIN