Individual
DR. TREVOR RUSSELL CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
11025 RCA CENTER DR STE 300, PALM BEACH GARDENS, FL 33410-4269
(561) 383-3820
(855) 369-2450
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17136
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
54516
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT198717
PA
208600000X
Surgery Physician
ML60093443
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V51430
MEDICARE
NV
Enumeration date
12/10/2009
Last updated
07/16/2024
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