Individual
DR. JUSTINA A TROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 W ALAMEDA ST, SUITE 25, SANTA FE, NM 87501-1681
(505) 988-8869
(505) 955-9460
Mailing address
901 W ALAMEDA ST, SUITE 25, SANTA FE, NM 87501-1681
(505) 988-8869
(505) 955-9460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NM 75-260
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02915
—
NM
01
—
27004
PRESBYTERIAN HEALTH PLAN
NM
01
—
NM003169
BLUE CROSS
NM
Enumeration date
07/09/2006
Last updated
10/18/2007
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