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Individual

DR. AMY LEE TROUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
19550 E 39TH ST S, STE 300, INDEPENDENCE, MO 64057-2303
(816) 478-0220
(816) 795-3456
Mailing address
19550 E 39TH ST S, STE 300, INDEPENDENCE, MO 64057-2303
(816) 478-0220
(816) 795-3456

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2000150992
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204988703
MO
Enumeration date
06/01/2005
Last updated
04/02/2009
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