Organization
TROUT ANESTHESIA
Active
Organization
TROUT ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A TROUT CRNA (PRESIDENT)
(541) 227-8858
Entity
Organization
Contact information
Practice address
1333 E BARNETT RD, MEDFORD, OR 97504-8219
(541) 858-4000
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
Update your record
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