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NPI Code Detail

MEDICARE: THOMAS TROTSKY MD

MEDICARE: THOMAS TROTSKY MD
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
1207R00000XInternal Medicine Physician10018MT

General Provider Information

NPI Number : 1831280858
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS TROTSKY MD
Provider Business Mailing Address
First Line : 210 S WINCHESTER AVE
Second Line :
City : MILES CITY
State : MT
Zip : 59301-4742
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 210 S WINCHESTER AVE
Second Line :
City : MILES CITY
State : MT
Zip : 59301-4742
Country : US
Telephone Number : 406-874-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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