Individual
DR. TRENT D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 MALVERN AVE, SUITE 301, HOT SPRINGS, AR 71901-7759
(501) 321-0555
(501) 623-1521
Mailing address
389 LAKE HAMILTON DR, A14, HOT SPRINGS, AR 71913-6899
(501) 551-1195
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E7244
AR
207X00000X
Orthopaedic Surgery Physician
KY44444
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189687001
—
AR
Enumeration date
08/05/2008
Last updated
12/30/2011
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