Individual
CRAIG CARGILL TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4567
(724) 728-9729
Mailing address
3572 BRODHEAD RD, SUITE 201, MONACA, PA 15061-3101
(724) 728-6284
(724) 728-7416
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD042444L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000256057
UNISON
PA
01
—
000000277298
UNISON
PA
05
—
001468489
—
PA
05
—
0014684890013
—
PA
01
—
003479FUD
HIGHMARK
PA
01
—
063479
HIGHMARK
—
01
—
2006037000
UNISYS
WV
01
—
251343987005
TRICARE
PA
Enumeration date
02/24/2006
Last updated
04/13/2010
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