| Eric E Trevelline Md Inc. | |
|
2831 Ft Missoula Rd Ste 303 Missoula MT 59804-7401 | |
| (406) 327-4685 | |
| (406) 327-4785 |
| Full Name | Eric E Trevelline Md Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2831 Ft Missoula Rd, Missoula, Montana |
| Authorized Official Name and Position | Eric E Trevelline (OWNER/M.D.) |
| Authorized Official Contact | 4063274685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric E Trevelline Md Inc. 2831 Ft Missoula Rd Ste 303 Missoula MT 59804-7401 Ph: (406) 327-4685 | Eric E Trevelline Md Inc. 2831 Ft Missoula Rd Ste 303 Missoula MT 59804-7401 Ph: (406) 327-4685 |
| NPI Number | 1316053895 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316053895 | NPI | - | NPPES |
| DA3719 | Other | MT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 10322 (Montana) | Primary |
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