NPI 1073048849
Trevia Goodall
Practice location
- Address
- 800 W Broadway St, West Memphis, AR 72301-2912
- Phone
- (870) 735-5174
- Mailing address
- 709 N 14th St, West Memphis, AR 72301-2138
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1073048849
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Apr 2017
- Record last updated
- 28 Apr 2017
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.