Most Relevant Information
Provider Data
| NPI Number: | 1003489428 |
| Provider Name: | JUSTIN ANDREW TREXLER CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 127810 |
Most Important Dates
| Enumeration Date: | 07/22/2021 |
| Last Updated: | 07/25/2021 |
Provider Practice Location
210 STATE ROUTE 158
COLUMBIA
IL
622363241
Practice Location Phone/Fax
| Phone: | 6188300604 |
| Fax: |
Provider Mailing Location
210 STATE ROUTE 158
COLUMBIA
IL
622363241
Provider Mailing Phone/Fax
| Phone: | 6188300604 |
| Fax: |