| Doctor Name: | DR. TREVOR THOMAS GREEN |
| NPI Number: | 1770796716 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 2006-01417 |
| Business Practice Address: | 2810 N Swan Rd 100 Tucson, AZ - 857126300 |
| Business Phone Number: | 5203242030 |
| Business Fax Number: | 5204456049 |
| Mailing Address: | 2810 N Swan Rd 100, TUCSON |
| State: | AZ |
| Postal Code: | 857126300 |
| Phone Number: | 5203242030 |
| Fax Number: | 5204456049 |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 09/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2006-01417 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |