Individual
STACEY TROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6120 N MAYFAIR ST, SPOKANE, WA 99208-1033
(509) 688-6700
(509) 484-9212
Mailing address
PO BOX 3867, SPOKANE, WA 99220-3867
(509) 688-6700
(509) 688-6777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D100001085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2087263
—
WA
Enumeration date
02/27/2007
Last updated
03/17/2018
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