Individual
TREVOR ZAC IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 234-6161
Mailing address
25 N 100 E, STE 102, ST GEORGE, UT 84770-7369
(435) 986-2565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8331186-1204
UT
Other
Enumeration date
06/17/2019
Last updated
07/14/2022
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