Individual
DOUGLAS TROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
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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