Individual
DR. DOUGLAS R TROSTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD022427-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010974510004
—
PA
05
—
02821649
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039818
PA MEDICARE GROUP
PA
01
—
GU042241
PA MEDICARE GROUP
PA
01
—
P00393479
RR MEDICARE PIN
PA
Enumeration date
07/29/2005
Last updated
10/25/2011
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