Individual
DR. MARK E. TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD STE 3005B, SAINT LOUIS, MO 63141-8266
(314) 251-7070
(314) 251-7071
Mailing address
621 S NEW BALLAS RD STE 3005B, SAINT LOUIS, MO 63141-8266
(314) 251-7070
(314) 251-7071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2018045706
MO
207X00000X
Orthopaedic Surgery Physician
Primary
94076
SC
207X00000X
Orthopaedic Surgery Physician
A122454
CA
207X00000X
Orthopaedic Surgery Physician
MD60115825
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258042
L&I
WA
05
—
8560880
—
WA
Enumeration date
10/29/2009
Last updated
04/18/2025
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