Individual
JAMES EDWARD TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
35AH
Contact information
Practice address
3956 WENZLICK AVE, ST LOUIS, MO 63109
(314) 799-7711
Mailing address
3956 WENZLICK AVE, SAINT LOUIS, MO 63109-1254
(314) 799-7711
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S9441SC
—
MO
Enumeration date
08/01/2017
Last updated
07/21/2022
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