Organization · Type 2 NPI

Trident Clinical PLLC

Primary Care Clinic/Center · Peoria, AZ

NPI number 1902204191 Active

Practice location

20340 N Lake Pleasant Rd Ste 109
Peoria, AZ 85382-9713

Call (623) 299-9988 Map

Mailing address

20340 N Lake Pleasant Rd, Suite 109
Peoria, AZ 85382-9714

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X40752 (AZ)

Primary Care Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1902204191

Trident Clinical PLLC's National Provider Identifier is 1902204191, issued on Dec 20, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Peoria, AZ. The record was last updated on Oct 27, 2016.