Individual
TREVOR LARON BRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(918) 576-4456
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(918) 576-4456
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2014006543
MO
207L00000X
Anesthesiology Physician
5031
OK
Other
Enumeration date
03/08/2011
Last updated
04/21/2015
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