Individual
MR. GILBERT LEWIS TROUT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3841 PIPER ST, SUITE T-100, ANCHORAGE, AK 99508-4624
(907) 561-3211
(907) 562-7547
Mailing address
PO BOX 200149, ANCHORAGE, AK 99520-0149
(907) 561-3211
(907) 562-7547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103880
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1636003
—
AK
Enumeration date
09/16/2014
Last updated
09/07/2016
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