Organization
ERIC E TREVELLINE MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC E TREVELLINE MD (OWNER/M.D.)
(406) 327-4685
Entity
Organization
Contact information
Practice address
2831 FT MISSOULA RD, STE 303, MISSOULA, MT 59804-7401
(406) 327-4685
(406) 327-4785
Mailing address
2831 FT MISSOULA RD, STE 303, MISSOULA, MT 59804-7401
(406) 327-4685
(406) 327-4785
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10322
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3719
RAILROAD MEDICARE
MT
Enumeration date
08/21/2006
Last updated
10/30/2007
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