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Individual

DR. TREY BANBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2825 STOCKYARD RD STE I-200, MISSOULA, MT 59808-1548
(406) 728-8420
(406) 541-8430
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195
(216) 444-2200
(216) 445-0605

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MED-PHYS-LIC-52576
MT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/24/2013
Last updated
07/21/2022
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