Individual
CAROL TREVITHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 676-4542
Mailing address
4300 B ST, SUITE 200, ANCHORAGE, AK 99503-5925
(907) 375-3355
(907) 375-3351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01074790A
IN
207R00000X
Internal Medicine Physician
108340
AK
Other
Enumeration date
03/18/2013
Last updated
02/26/2019
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