TREVOR JAMES ELLICO

SALT LAKE CITY, UT
NPI1730716713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: UT  13891972-1204)
Enumeration Date2020-03-27
Last Update Date2024-04-09
Business Address
TREVOR JAMES ELLICO D.O.
HELIX: 30 N MARIO CAPECHHI DR RM 5N200
SALT LAKE CITY, UT 84112
Phone number: 801-581-2121
Mailing Address
TREVOR JAMES ELLICO D.O.
HELIX: 30 N MARIO CAPECHHI DR RM 5N200
SALT LAKE CITY, UT 84112
Phone number: 801-581-2121