Individual
ERIC E TREVELLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2831 FORT MISSOULA RD, SUITE 303, MISSOULA, MT 59804-7419
(406) 327-4685
(406) 327-4785
Mailing address
2831 FORT MISSOULA RD, SUITE 303, MISSOULA, MT 59804-7419
(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
05
—
0076143
—
MT
01
—
95145
MEDICARE ADVANTAGE
MT
01
—
P00040972
RAILROAD MEDICARE
MT
Enumeration date
08/21/2006
Last updated
10/09/2007
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