Individual
TREVOR GLENN ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1620 PAJARO CT., FREMONT, CA 94539
(510) 673-2085
Mailing address
1620 PAJARO CT, FREMONT, CA 94539-4430
(510) 673-2085
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2000026911
CA
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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