Individual
JONATHAN N TRAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT (R), RVT (VT)
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
3008 CANTERBURY, PARAGOULD, AR 72450-7790
(870) 476-2923
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
483202
AR
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
168994
AR
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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