Organization
RUSSELL TROUTMAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLMES RUSSELL TROUTMAN JR. M.D. (PHYSICIAN)
(206) 244-1680
Entity
Organization
Contact information
Practice address
16122 8TH AVE SW, SUITE D-1, BURIEN, WA 98166-2967
(206) 244-1680
(206) 243-8845
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME77559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256213800
—
FL
Enumeration date
10/16/2007
Last updated
10/13/2011
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