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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TREVOR DALE MUNGER, CPO

Active

TREVOR DALE MUNGER, CPO is a Orthotist healthcare provider located in WASILLA, Alaska. NPI 1962761973 is currently active in the NPPES registry. Verify at CMS.

Orthotist · WASILLA, AK

Registration Details

NPI Number
1962761973
Provider Type
Individual
Gender
Male
NPI Issued
May 10, 2012 (14.222188706747 yrs)
Last Updated
May 10, 2012
Licenses
CPO01700 (DE)
CPO01700 (DE)
CPO01700 (DE)

Practice Information

Address
1700 E BOGARD RD STE 104
BUILDING B
WASILLA, AK, 996546563
Browse AK providers · Browse ZIP 99654
Phone
9077439991
Fax
9077439992
Primary Specialty
Orthotist
222Z00000X
Additional Specialty
224L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.