Individual
TAMARA K TROUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1980 N MAIN ST, BLUFFTON, IN 46714-4100
(260) 353-1954
(260) 353-1955
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000795A
IN
Other
Enumeration date
06/10/2006
Last updated
12/03/2024
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