Search › Illinois › 207Q00000X
Trevor Brue, DO
NPI 1265920326 · on the registry since 2018 · sole proprietor
Practice
- Address
- 310 W Losey St
Scott Afb, IL 62225 - Phone
- (618) 256-9355
- Organisation at this address
- Dfas-Jfll/In
375th Medgrp-Scott
375th Medgrp-Scott
375th Medgrp-Scott
United States Air ForceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 114
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois