Individual
TREVOR C AXFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 BELLEVUE AVE STE 500, SAINT LOUIS, MO 63117-1843
(314) 647-8269
(314) 646-1700
Mailing address
PO BOX 955534 STE 500, SAINT LOUIS, MO 63195-1845
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2001029238
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME152710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205838600
—
MO
Enumeration date
06/24/2006
Last updated
06/07/2023
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