TREVOR J MATHIS

ASHLEY VALLEY PHYSICIAN PRACTICES LLC

Dr TREVOR J MATHIS is a male medical professional, specializing in General Surgery. He graduated in 2008 from Ohio State University College Of Medicine.

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ASHLEY VALLEY PHYSICIAN PRACTICES LLC

150 W 100
VERNAL
UT
840782036

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TREVOR J MATHIS Information

Npi 1205008844
Pac Id 2264675644
Professional Enrollment Id I20130904000561
Last Name MATHIS
First Name TREVOR
Middle Name J
Suffix
Gender M
Credential
Medical School Name OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 2008
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ASHLEY VALLEY PHYSICIAN PRACTICES LLC
Group Practice Pac Id 4284683947
Number Of Group Practice Members 18
Line 1 Street Address 150 W 100
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City VERNAL
State UT
Zip Code 840782036
Phone Number
Hospital Affiliation Ccn 1 460030
Hospital Affiliation Lbn 1 ASHLEY REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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