Individual
MARK PATRICK TRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
205 W MILLBROOK RD STE 205, RALEIGH, NC 27609-4492
(919) 755-0024
(919) 782-3064
Mailing address
205 W MILLBROOK RD STE 205, RALEIGH, NC 27609-4492
(919) 755-0024
(919) 782-3064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NC1882
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0882G
BLUE CROSS BLUE SHIELD
NC
Enumeration date
06/12/2007
Last updated
10/09/2017
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