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1265535827

NPI Code Detail

MEDICARE: STEVEN TREVOR MCCROREY MD

MEDICARE: STEVEN TREVOR MCCROREY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00037220	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8935357	OTHER	WA	CRIMEVICTIMS
2	911019392	OTHER		COMMERCIAL
3	8242596	OTHER	WA	CHPW
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	156522	OTHER	WA	L & I
7	KQ324	OTHER	WA	REGENCE

General Provider Information

NPI Number	:	1265535827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN TREVOR MCCROREY MD

Provider Business Mailing Address
First Line	:	502 EAST BOONE AD 106
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99258-0001
Country	:	US
Telephone Number	:	509-313-4066
Fax Number	:	509-313-5516

Provider Business Practice Location Address
First Line	:	704 EAST SHARP AVENUE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99258-2322
Country	:	US
Telephone Number	:	509-313-4066
Fax Number	:	503-313-5516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	09/20/2024

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Directions to “ STEVEN TREVOR MCCROREY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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