Provider Demographics
NPI:1467186700
Name:MARLER, TREVOR ALLEN (PA)
Entity Type:Individual
Prefix:MR
First Name:TREVOR
Middle Name:ALLEN
Last Name:MARLER
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:1499 CENTRAL PARK BLVD UNIT 818
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3680
Mailing Address - Country:US
Mailing Address - Phone:504-644-3981
Mailing Address - Fax:
Practice Address - Street 1:2500 BELLE CHASSE HWY
Practice Address - Street 2:
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-7127
Practice Address - Country:US
Practice Address - Phone:504-392-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2023-07-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant