Organization · Type 2 NPI

Trident Medical Services

Family Medicine Physician · Russellville, AR

NPI number 1275478638 Active

Practice location

106 S Inglewood Ave
Russellville, AR 72801-3353

Call (479) 449-0400 Map

Mailing address

10398 Cherokee Loop
Dardanelle, AR 72834-2402

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

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About NPI 1275478638

Trident Medical Services's National Provider Identifier is 1275478638, issued on Apr 22, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Russellville, AR. The record was last updated on Apr 22, 2026.