Basic Information
| Provider Information | |||||||||
| NPI: | 1770975864 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GEORGE | ||||||||
| FirstName: | TREVOR | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | N.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3710 N MONROE | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 99205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5093285234 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3710 N MONROE | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 99205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5093285234 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2015 | ||||||||
| LastUpdateDate: | 04/28/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 175F00000X | 099.0107343 | VT | Y | Other Service Providers | Naturopath | 175F00000X | NT60554351 | WA | N | Other Service Providers | Naturopath |
No ID Information.