NPI 1386528487

Jonathan N Trail, RTRRVTVT

Practitioner Vascular Sonography Radiologic Technologist Poplar Bluff, MO

Practice location

Address: 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318
Phone: (573) 686-4151
Mailing address: 3008 Canterbury, Paragould, AR 72450-7790

Registered specialties (2)

Vascular Sonography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471V0105X Licence 168994 (AR)

Other Radiologic Technologist providers in Missouri →

Radiography Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence 483202 (AR)

Registry record

NPI: 1386528487
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2025
Record last updated: 1 Aug 2025

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.