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NPI Code Detail

MEDICARE: DR. DOUGLAS R TROSTLE M.D.

MEDICARE:  DR. DOUGLAS R TROSTLE  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
1208600000XSurgery PhysicianMD022427-EPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1GU042241OTHERPAPA MEDICARE GROUP
2GU039818OTHERPAPA MEDICARE GROUP
3P00393479OTHERPARR MEDICARE PIN
6CC9269OTHERPARR MEDICARE GROUP

Other Identifiers

General Provider Information

NPI Number : 1548260771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS R TROSTLE M.D.
Provider Business Mailing Address
First Line : 1 GUTHRIE SQ
Second Line :
City : SAYRE
State : PA
Zip : 18840-1625
Country : US
Telephone Number : 570-888-5858
Fax Number :
Provider Business Practice Location Address
First Line : 1 GUTHRIE SQ
Second Line :
City : SAYRE
State : PA
Zip : 18840-1625
Country : US
Telephone Number : 570-888-5858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 10/25/2011

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Directions to “ DR. DOUGLAS R TROSTLE M.D.” Practice Location

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