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Individual

DR. RICHARD STOCKTON TRENBATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
211 MERCHANTS WALK, SHOPPING CENTER, SUMMERSVILLE, WV 26651-1901
(304) 872-9455
(304) 872-9456
Mailing address
PO BOX 1049, LEWISBURG, WV 24901-4049
(304) 645-4043
(304) 645-4713

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12758
WV
207QG0300X
Geriatric Medicine (Family Medicine) Physician
12758
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002684077
HIGHMARK BCBS
WV
05
0053183000
WV
05
3810022256
WV
Enumeration date
12/05/2005
Last updated
09/25/2013
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