Organization
EVERETT TREVOR, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT DEAN TREVOR MD (PRESIDENT)
(530) 246-4180
Entity
Organization
Contact information
Practice address
1145 WHISKEYTOWN CT, REDDING, CA 96001-0227
(530) 246-4180
(530) 242-6421
Mailing address
1145 WHISKEYTOWN CT, REDDING, CA 96001-0228
(530) 246-4180
(530) 242-6421
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00G304360
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
00G304360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G304360
—
CA
Enumeration date
02/29/2008
Last updated
08/06/2008
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