Individual
DOUGLAS TROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
12011 LEE JACKSON HWY, FAIRFAX, VA 22033-3335
(703) 259-7027
Mailing address
PO BOX 221135, CHANTILLY, VA 20153-1135
(703) 359-7027
(703) 591-0005
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
0136000534
VA
363AS0400X
Surgical Physician Assistant
Primary
3264
VA
Other
Enumeration date
10/25/2010
Last updated
01/26/2022
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