| Doctor Name: | ROSE M TRIGG |
| NPI Number: | 1265644165 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 1635 |
| Business Practice Address: | 13500 S Tulsa Dr Suite 200 Oklahoma City, OK - 731709719 |
| Business Phone Number: | 4057132696 |
| Business Fax Number: | 4057132699 |
| Mailing Address: | 13500 S Tulsa Dr, Suite 200 OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731709719 |
| Phone Number: | 4057132696 |
| Fax Number: | 4057132699 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 05/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |