Organization
TRUMANN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRENT ROBERT LAMB MD (OWNER)
(870) 483-1025
Entity
Organization
Contact information
Practice address
417 W MAIN, TRUMANN, AR 72472
(870) 483-1025
(870) 483-1057
Mailing address
417 W MAIN, TRUMANN, AR 72472
(870) 483-1025
(870) 483-1057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0989
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149879002
—
AR
01
—
5F024
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/25/2006
Last updated
11/24/2009
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