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Dr. Trevor Ray Crabtree, O.D.

Optometrist in Marion, IL. Individual provider (NPI-1).

NPI number1770575284
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1770575284
Entity type
Individual (NPI-1)
Name
Dr. Trevor Ray Crabtree
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 19, 2005
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist047-207399ILYes

Practice location

1508 Sioux Dr
Marion, IL 62959-5209

Phone 618-993-8787 · Fax 618-997-6547

Mailing address

1508 Sioux Dr
Marion, IL 62959-5209

Phone 618-993-8787 · Fax 618-997-6547

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