| Trenton Ryan Johnson, | |
|
107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | |
| (304) 548-7272 | |
| (304) 542-7149 |
| Full Name | Trenton Ryan Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 107 Koontz Ave Ste 200, Clendenin, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831798321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 2508 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Trenton Ryan Johnson, 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 Ph: (304) 548-7272 | Trenton Ryan Johnson, 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 Ph: (304) 548-7272 |
Rachael D. Mitchell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 | |
Chelsea Agnew, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 | |
Mary E Grandon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 107 Koontz Ave. Ste. 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 | |
Ms. Jennifer Lynn Thayer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 |