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Individual

DOUGLAS TROTT

Active
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Individual

DOUGLAS TROTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSA

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
0136000534
VA
363AS0400X
Surgical Physician Assistant
Primary
3264
VA

Other

Enumeration date
10/25/2010
Last updated
01/26/2022
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