Individual
TREVOR DALE OTTOFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 BOULDERS PKWY STE 100, NORTH CHESTERFIELD, VA 23225-4067
(804) 320-1339
(804) 330-5829
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1810
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
100649
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
11/07/2025
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