Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OT-010525 | PA |
NPI | 1023202058 |
---|---|
Provider Name | Dr. Corey Richard Troxell |
First Address | Lancaster, PA 17601-6823 |
Second Address | Lancaster, PA 17601-6823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2007 |
Last Update Date | 22/10/2010 |