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Organization
TRIDENT MEDICAL CARE GROUP LLC
Active
Organization
TRIDENT MEDICAL CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACEY SEAL (MANAGER)
(479) 449-0400
Entity
Organization
Contact information
Practice address
106 S INGLEWOOD AVE STE A, RUSSELLVILLE, AR 72801-3353
(479) 449-0400
(479) 282-0410
Mailing address
10398 CHEROKEE LOOP, DARDANELLE, AR 72834-2402
(479) 449-0400
(479) 282-0410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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