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Contact Information

TROY L LOMAVAYA
HIGHWAY 264, MILEPOST 388
POLACCA, AZ86042
 Phone: 928-737-6000
 Fax: 928-737-6055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
Indicates primary specialty

NPI Profile & details for TROY L LOMAVAYA · (Male)

NPI # 1861065393
Status Active
Credentials
Entity Individual
Enumeration date 07/22/2021
Last updated 07/22/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ Medicaid 542155229
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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