Individual provider · Type 1 NPI
Richard Floyd Trevis, DO
Adult Medicine Physician · South Lyon, MI
NPI number
1447594577
Active
Practice location
8782 Stoney Creek Dr
South Lyon, MI 48178-9492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 5101005046 (MI) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1447594577
Richard Floyd Trevis, DO's National Provider Identifier is 1447594577, issued on Nov 15, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in South Lyon, MI. The record was last updated on Nov 15, 2012.