Provider Demographics
NPI:1225057631
Name:TREVARTHEN, DAVID REID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:REID
Last Name:TREVARTHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:799 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2700
Mailing Address - Country:US
Mailing Address - Phone:303-788-8675
Mailing Address - Fax:303-761-8031
Practice Address - Street 1:601 S SHERMAN ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1311
Practice Address - Country:US
Practice Address - Phone:509-228-1000
Practice Address - Fax:509-252-9300
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2021-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO19508207RH0003X
WAMD61187482207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO85921084Medicaid
COCO40614Medicare PIN