Basic Information
Provider Information
NPI: 1851528517
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCCOTTER
FirstName: TREVOR
MiddleName: I
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1233 N 30TH ST
Address2:  
City: BILLINGS
State: MT
PostalCode: 591010127
CountryCode: US
TelephoneNumber: 4062374116
FaxNumber: 4062374125
Practice Location
Address1: 1233 N 30TH ST
Address2:  
City: BILLINGS
State: MT
PostalCode: 59101
CountryCode: US
TelephoneNumber: 4062374116
FaxNumber: 4062374125
Other Information
ProviderEnumerationDate: 06/19/2009
LastUpdateDate: 05/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X2011006236MON Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X45399MTY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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