Individual
JUSTIN JAMES TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-0641
(513) 536-0619
Mailing address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-0641
(513) 536-0619
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35058370
OH
2084P0802X
Addiction Psychiatry Physician
Primary
35058370
OH
Other
Enumeration date
12/06/2006
Last updated
06/26/2009
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