IndividualActive
Jonathan Trail, RT (R), RVT (VT)
NPI 1386528487 · Vascular Sonography Radiologic Technologist · Poplar Bluff, MO
Provider details
- NPI number
- 1386528487
- Entity type
- Individual
- Primary specialty
- Vascular Sonography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RT (R), RVT (VT)
- Sex
- Male
- Sole proprietor
- No
- License
- 483202 (AR)
Practice location
1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone: (573) 686-4151
Mailing address
3008 Canterbury
Paragould, AR 72450-7790
Registry dates
- Enumerated
- 2025-08-01
- Last updated
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.