Healthcare Provider Details

I. General information

NPI: 1215233887
Provider Name (Legal Business Name): JOSHUA ANTHONY TRINKLE P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2011
Last Update Date: 02/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W. ERIE AVE
HARRISON AR
72601
US

IV. Provider business mailing address

224 W. ERIE AVE.
HARRISON AR
72601
US

V. Phone/Fax

Practice location:
  • Phone: 870-741-8289
  • Fax: 870-741-0308
Mailing address:
  • Phone: 870-741-8289
  • Fax: 870-741-0308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2011002475
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: