Basic Information
Provider Information
NPI: 1992791396
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRIGG
FirstName: DUNCAN
MiddleName: SCOTT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5555 W. THUNDERBIRD
Address2: BANNER THUNDERBIRD MEDICAL CENTER
City: GLENDALE
State: AZ
PostalCode: 85306
CountryCode: US
TelephoneNumber: 6028652627
FaxNumber: 6028652632
Practice Location
Address1: 5555 W. THUNDERBIRD
Address2: BANNER THUNDERBIRD MEDICAL CENTER
City: GLENDALE
State: AZ
PostalCode: 85306
CountryCode: US
TelephoneNumber: 6028652627
FaxNumber: 6028652632
Other Information
ProviderEnumerationDate: 09/21/2005
LastUpdateDate: 01/04/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X34144AZN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XG75571CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X34144AZY Allopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
00G75571005CA MEDICAID
941098-0105AZ MEDICAID


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