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Individual

MR. JEFFREY C TROTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
2421 E TUDOR RD, STE 103, ANCHORAGE, AK 99507-1128
(907) 646-9774
(907) 646-9775
Mailing address
2421 E TUDOR RD, STE 103, ANCHORAGE, AK 99507-1128
(907) 646-9774
(907) 646-9775

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1442
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
338041
PROVIDENCE HEALTH SYSTEMS
AK
05
PT1442
AK
Enumeration date
03/13/2007
Last updated
07/08/2007
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