Individual
DR. HOLMES RUSSELL TROUTMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00028093
WA
208600000X
Surgery Physician
ME77559
FL
2086S0129X
Vascular Surgery Physician
G71589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256213800
—
FL
01
—
P00892568
MEDICARE RAILROAD
WA
Enumeration date
10/11/2005
Last updated
05/18/2021
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