Individual
JEFFREY M TROUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 STATE ST, ERIE, PA 16550
(814) 877-2137
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34-007659
OH
207L00000X
Anesthesiology Physician
OS013774
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019147280005
—
PA
05
—
2585760
—
OH
01
—
P00863562
RAILROAD MEDICARE
PA
Enumeration date
07/26/2006
Last updated
10/19/2020
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