Provider Demographics
NPI:1073667911
Name:TRZASKOMA, MEGAN H (DO)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:H
Last Name:TRZASKOMA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:402 WILSON AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-8713
Mailing Address - Country:US
Mailing Address - Phone:510-520-8921
Mailing Address - Fax:
Practice Address - Street 1:300 W OTTLEY AVE
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-2118
Practice Address - Country:US
Practice Address - Phone:970-858-2186
Practice Address - Fax:970-858-2208
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2024-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY296214-1207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine