Trevor Dale Munger, CPO

NPI #1962761973 in Wasilla, Alaska

Provider Information

NPI Number: 1962761973
Entity Type: Individual
Name: Trevor Dale Munger, CPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: CPO
Enumeration Date: May 10, 2012
Last Updated: May 10, 2012

Practice Location

Address: 1700 E BOGARD RD STE 104
Address 2: BUILDING B
City: Wasilla
State: Alaska
ZIP Code: 99654-6563
Phone: (907) 743-9991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary
Pedorthist	224L00000X
Prosthetist	224P00000X

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Gretchen Renee Wellman, C.O.	Orthotist	Anchorage	AI Deep Dive
Alison Rachel Kahn, CPO	Orthotist	Anchorage	AI Deep Dive
DR. Edward Carl Godnig, O.D.	Optometrist	Wasilla	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Valley Dermatology Center, Inc.	Dermatology	Wasilla	AI Deep Dive

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