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DR. SAUL GENEROSO TREVINO M.D.

Physicians Orthopaedic Surgery Foot and Ankle Surgery

Provider NPI: 1912085358

Provider Information:
DR. SAUL GENEROSO TREVINO M.D.
Gender: M
Not Sole Proprietor

Practice Location:
1100 VIRGINIA AVE  COLUMBIA, MO 65212-0001 US
Tel: 573-882-2663  Fax: 573-882-1760

Business Mailing Address:
PO BOX 7687  COLUMBIA, MO 65205-7687 US
Tel: 573-882-2259  Fax: --

NPI Information:
NPI: 1912085358
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207XX0004XPhysicians
Orthopaedic Surgery
Foot and Ankle Surgery
MO2007003916
N207XX0004XPhysicians
Orthopaedic Surgery
TXD3420

Other Provider Identifiers:

IssuerNumberStateType
P085566J5TX05
204582209MO05



American Medical Association 2012 taxonomy code information

Code: 207XX0004X

Type:

Classification:



Definition:



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