Individual
DR. ROBERT B TROVILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
350 E MILLSAP RD, FAYETTEVILLE, AR 72703-4098
(479) 521-7850
(479) 442-4779
Mailing address
2783 N CENTERWOOD RD, FAYETTEVILLE, AR 72703-3604
(479) 251-1697
(479) 251-1691
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000805
MO
213E00000X
Podiatrist
Primary
174
AR
213E00000X
Podiatrist
768
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300660001
DME SUPPLIER NUMBER
—
05
—
135297717
—
AR
05
—
303841100
—
MO
01
—
480027223
RAILROAD RETIREMENT MEDIC
MO
01
—
480028754
RAILROAD RETIREMENT MEDIC
AR
Enumeration date
01/11/2007
Last updated
07/08/2007
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