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Contact Information

JEFFREY B TRUDO, LAT, ATC
492 EAST MCCONNELL DRIVE
FLAGSTAFF, AZ86011
 Phone: 928-523-4151
 Fax: 928-523-8464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JEFFREY B TRUDO · (Male)

NPI Number 1225558794
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 06/26/2017
Last updated 06/26/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 1515
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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