Individual
GENE BRYANT TROBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
1427 JEFFERSON AVE, SUITE 202, ENUMCLAW, WA 98022-3649
(360) 802-5021
(360) 825-5265
Mailing address
1427 JEFFERSON AVE, SUITE 202, ENUMCLAW, WA 98022-3649
(360) 802-5021
(360) 825-5265
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00013271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1107465
—
WA
Enumeration date
12/05/2006
Last updated
05/09/2012
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