Provider Demographics
NPI:1518260819
Name:TROTTER, JOSEPH H (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:H
Last Name:TROTTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7833
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71611-7833
Mailing Address - Country:US
Mailing Address - Phone:870-535-1234
Mailing Address - Fax:870-535-1234
Practice Address - Street 1:18484 PRESTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5400
Practice Address - Country:US
Practice Address - Phone:972-781-9296
Practice Address - Fax:870-543-5962
Is Sole Proprietor?:No
Enumeration Date:2010-12-09
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician
No246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology