TREVOR ZAC IRVINE

CASPER, WY
NPI1821658345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  8331186-1204)
Enumeration Date2019-06-17
Last Update Date2022-07-14
Business Address
TREVOR ZAC IRVINE DO
1522 E A ST
CASPER, WY 82601-2217
Phone number: 307-234-6161
Mailing Address
TREVOR ZAC IRVINE DO
25 N 100 E STE 102
ST GEORGE, UT 84770-7369
Phone number: 435-986-2565
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