Healthcare Provider Details
I. General information
NPI: 1467524686
Provider Name (Legal Business Name): FRANK V TROHA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1520 S MAIN ST SUITE 200
DAYTON OH
45409-2698
US
IV. Provider business mailing address
1520 S MAIN ST SUITE 200
DAYTON OH
45409-2698
US
V. Phone/Fax
- Phone: 937-228-5115
- Fax: 937-228-4591
- Phone: 937-228-5115
- Fax: 937-228-4591
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0122X |
| Taxonomy | Plastic and Reconstructive Surgery Physician |
| License Number | 35051043T |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: