NPI 1124341763

Trevor James Trout, IDC

Practitioner Independent Duty Corpsman Stennis Space Center, MS

Practice location

Address: 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001
Phone: (228) 813-4000
Mailing address: 259 Old Highway 49, Mc Henry, MS 39561-6176

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Mississippi →

Registry record

NPI: 1124341763
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2010
Record last updated: 20 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.