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Individual

CARLOS F TREVINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PC

Contact information

Practice address
181 12TH AVE SW, SIDNEY, MT 59270-3613
(406) 488-2574
(406) 488-5514
Mailing address
181 12TH AVE SW, SIDNEY, MT 59270-3613
(406) 488-2574
(406) 488-5514

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10214
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000091046
BLUE CROSS
MT
Enumeration date
10/23/2006
Last updated
04/17/2013
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