Individual
JEFFREY SCOTT TRIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 6TH AVE N, CENTRA CARE CLINIC, SAINT CLOUD, MN 56303-2735
(320) 656-7020
Mailing address
1200 6TH AVE N, CENTRA CARE CLINIC, SAINT CLOUD, MN 56303-2735
(320) 656-7020
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9283
MN
363AS0400X
Surgical Physician Assistant
MN9283
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856010200
—
MN
Enumeration date
07/14/2006
Last updated
03/16/2023
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