Trenton Tillery

NPI #1710714027 in Springdale, Arkansas

Provider Information

NPI Number: 1710714027
Entity Type: Individual
Name: Trenton Tillery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist, Other - EEG
Enumeration Date: Sep 19, 2024
Last Updated: Sep 19, 2024

Practice Location

Address: 3497 WAGON WHEEL RD
City: Springdale
State: Arkansas
ZIP Code: 72762-0115
Phone: (479) 717-2467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic	246ZE0600X
Specialist/Technologist, Other - EEG — EEG	246ZE0500X	Primary

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