Provider Demographics
NPI:1518135136
Name:TROUTT, WILLIAM DUFFY (NMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DUFFY
Last Name:TROUTT
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3267 S YAQUI LN
Mailing Address - Street 2:
Mailing Address - City:GOLD CANYON
Mailing Address - State:AZ
Mailing Address - Zip Code:85218-8516
Mailing Address - Country:US
Mailing Address - Phone:480-797-5190
Mailing Address - Fax:
Practice Address - Street 1:3267 S YAQUI LN
Practice Address - Street 2:
Practice Address - City:GOLD CANYON
Practice Address - State:AZ
Practice Address - Zip Code:85218-8516
Practice Address - Country:US
Practice Address - Phone:480-797-5190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-16
Last Update Date:2008-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ04-797175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath