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NPI Code Detail

MEDICARE: JAMES TROUTMAN M.D.

MEDICARE: JAMES TROUTMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD00026605WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD0002605OTHERWALICENSE

General Provider Information

NPI Number : 1043217441
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES TROUTMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 5127
Second Line :
City : EVERETT
State : WA
Zip : 98206-5127
Country : US
Telephone Number : 360-629-1502
Fax Number : 360-629-1524
Provider Business Practice Location Address
First Line : 7205 265TH ST NW
Second Line :
City : STANWOOD
State : WA
Zip : 98292-6221
Country : US
Telephone Number : 360-629-1502
Fax Number : 360-629-1524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 03/27/2020

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Directions to “ JAMES TROUTMAN M.D.” Practice Location

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