Individual
DR. SAUL GENEROSO TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
2007003916
MO
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
D3420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204582209
—
MO
05
—
P085566J5
—
TX
Enumeration date
11/02/2006
Last updated
06/02/2010
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