NPI 1275478638

Trident Medical Services

Organisation Family Medicine Physician Russellville, AR

Practice location

Address: 106 S Inglewood Ave, Russellville, AR 72801-3353
Phone: (479) 449-0400
Mailing address: 10398 Cherokee Loop, Dardanelle, AR 72834-2402

Authorised official

Name: Kacey Seal
Title: Manager
Phone: (479) 449-0400

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Arkansas →

Registry record

NPI: 1275478638
Entity type: Organization
NPI issued: 22 Apr 2026
Record last updated: 22 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.