SearchArkansas183500000X

Trent Johnson

NPI 1649870619 · on the registry since 2020 · sole proprietor

Practice

Address
367 W Main St
Farmington, AR 72730
Phone
(870) 365-7923
Organisation at this address
Walmart Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-29

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 Arkansas