TRENTON RYAN JOHNSON

CLENDENIN, WV
NPI1831798321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  2508)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-10-26
Last Update Date2022-02-26
Business Address
TRENTON RYAN JOHNSON
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045-9581
Phone number: 304-548-7272
Mailing Address
TRENTON RYAN JOHNSON
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045-9581
Phone number: 304-548-7272