MEDICARE: DAVID ALAN TREBB 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	208000000X	Pediatrics Physician	01057779A	IN
2	208M00000X	Hospitalist Physician	35091635	OH
3	208000000X	Pediatrics Physician	35091635	OH

General Provider Information

NPI Number	:	1467443721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALAN TREBB MD

Provider Business Mailing Address
First Line	:	751 FOREST AVE STE 401
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2878
Country	:	US
Telephone Number	:	740-454-8502
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 FOREST AVE
Second Line	:	SUITE 401
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2868
Country	:	US
Telephone Number	:	740-454-8502
Fax Number	:	740-454-8641

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

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	07/30/2020

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Directions to “ DAVID ALAN TREBB MD” Practice Location

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