Provider Demographics
NPI:1205139169
Name:TRODDEN, GERALD ARTHUR (RRT, RPSGT, RPFT)
Entity type:Individual
Prefix:MR
First Name:GERALD
Middle Name:ARTHUR
Last Name:TRODDEN
Suffix:
Gender:M
Credentials:RRT, RPSGT, RPFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 220956
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99522-0956
Mailing Address - Country:US
Mailing Address - Phone:907-868-7868
Mailing Address - Fax:907-868-7869
Practice Address - Street 1:1940 BLUEGRASS CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-5403
Practice Address - Country:US
Practice Address - Phone:907-868-7868
Practice Address - Fax:907-868-7869
Is Sole Proprietor?:No
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225B00000X
22225227900000X
12222279P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics
No225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function Technologist
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered