Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | DC006734L | PA |
Y | 213ER0200X | Radiology | DC006734L | PA |
NPI | 1265480792 |
---|---|
Provider Name | Dr. Todd B. Trinkley |
First Address | Indiana, PA 15701-8686 |
Second Address | Indiana, PA 15701-8686 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 05/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016584470003 | (05) | PA |
0017245240002 | (05) | PA |
U64883 | (02) | PA |