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Individual

DR. TREVOR Y SATTERFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
775 POLE LINE RD W, SUITE 105, TWIN FALLS, ID 83301-5814
(208) 814-8000
(208) 733-9402
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M10260
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
808363600
ID
01
P00809353
MCRR
ID
Enumeration date
08/16/2007
Last updated
01/02/2015
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