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Individual

GARY D TROHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5584
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5584

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN039389
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1686204
LA
05
190553101
TX
Enumeration date
10/17/2006
Last updated
04/25/2008
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