Individual
LEE DUPONT TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4681
SD
2086S0120X
Pediatric Surgery Physician
Primary
10975405-1204
UT
Other
Enumeration date
03/14/2006
Last updated
08/25/2021
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