Individual
PHILIP C TROTTA
Active
Individual
PHILIP C TROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036053242
IL
2085R0202X
Diagnostic Radiology Physician
Primary
32168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053242
—
IL
05
—
200664902
—
MO
01
—
300099726
RAILROAD MEDICARE
MO
01
—
300102465
RAILROAD MEDICARE
MO
Enumeration date
07/21/2006
Last updated
10/18/2011
Update your record
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