Individual
TREVOR MOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
503 ROSEDALE SHOPPING CTR, ROSEVILLE, MN 55113-3004
(651) 631-8900
(651) 631-1003
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3041
MN
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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