Individual
JOHN RICHARD TRINITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2241 K AVE, RED OAK, IA 51566-6074
(712) 623-5486
(712) 623-5487
Mailing address
2241 K AVE, RED OAK, IA 51566-6074
(712) 623-5486
(712) 623-5487
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18368
NE
208600000X
Surgery Physician
Primary
26992
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270843
—
IA
01
—
27084
BCBS
IA
Enumeration date
01/18/2006
Last updated
03/30/2009
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