Individual
JUSTIN C TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PPC
Contact information
Practice address
300 E 17TH ST, CHEYENNE, WY 82001-4608
(307) 631-9937
(307) 635-7706
Mailing address
300 E 17TH ST, CHEYENNE, WY 82001-4608
(307) 631-9931
(307) 635-7706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1108
WY
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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