Organization · Type 2 NPI

Trident Medical Care Group LLC

Family Medicine Physician · Russellville, AR

NPI number 1629904461 Active

Practice location

106 S Inglewood Ave Ste A
Russellville, AR 72801-3353

Call (479) 449-0400 Map

Fax (479) 282-0410

Mailing address

10398 Cherokee Loop
Dardanelle, AR 72834-2402

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone 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 1629904461

Trident Medical Care Group LLC's National Provider Identifier is 1629904461, issued on Jun 19, 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 Jun 19, 2026.