Individual provider · Type 1 NPI

Douglas Trott, CSA

Surgical Physician Assistant · Fairfax, VA

NPI number 1811297807 Active

Practice location

12011 Lee Jackson Hwy
Fairfax, VA 22033-3335

Mailing address

PO Box 221135
Chantilly, VA 20153-1135

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X0136000534 (VA)
Surgical Physician Assistant Primary 363AS0400X3264 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1811297807

Douglas Trott, CSA's National Provider Identifier is 1811297807, issued on Oct 25, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fairfax, VA. The record was last updated on Jan 26, 2022.