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Organization
DR LLOYD C TRICHELL PA
Active
Organization
DR LLOYD C TRICHELL PA
Active
Other names
Fayetteville Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY TRICHELL (OFFICE MANAGER)
(479) 587-0171
Entity
Organization
Contact information
Practice address
509 E MILLSAP RD, STE. 101, FAYETTEVILLE, AR 72703-4067
(479) 587-0171
(479) 587-0885
Mailing address
PO BOX 1705, FAYETTEVILLE, AR 72702-1705
(479) 587-0171
(479) 587-0885
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0902
TX
213E00000X
Podiatrist
Primary
116
AR
213E00000X
Podiatrist
172
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119165717
—
AR
05
—
148124748
—
AR
01
—
15934000000
QUALCHOICE OF ARKANSAS
AR
01
—
2720061
UNITED HEALTHCARE
—
01
—
387675
HEALTHLINK
—
01
—
56240
CHAMPUS
AR
01
—
5843039
AETNA
—
Enumeration date
05/10/2007
Last updated
01/14/2008
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