Provider Demographics
NPI:1689060840
Name:TROTTER, CARL GRIFFIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:GRIFFIN
Last Name:TROTTER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3545 LAFAYETTE AVE
Mailing Address - Street 2:SALUS BUILDING ROOM 501
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1314
Mailing Address - Country:US
Mailing Address - Phone:314-977-6665
Mailing Address - Fax:314-977-5150
Practice Address - Street 1:3545 LAFAYETTE AVE
Practice Address - Street 2:SALUS BUILDING ROOM 501
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1314
Practice Address - Country:US
Practice Address - Phone:314-977-6665
Practice Address - Fax:314-977-5150
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2015-04-14
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Provider Licenses
StateLicense IDTaxonomies
MO111798207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine