Individual
TRENT WILLIAM NICHOLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 CORNWALL RD, LEBANON, PA 17042-7233
(717) 270-4545
(717) 270-9010
Mailing address
1151 CORNWALL RD, LEBANON, PA 17042-7233
(717) 270-4545
(717) 270-9010
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD021152E
PA
Other
Enumeration date
08/19/2005
Last updated
08/10/2009
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