Organization
GREENBRIER PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D TROUT (CLINIC ADMINISTRATOR)
(304) 647-1140
Entity
Organization
Contact information
Practice address
200 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
(304) 647-1140
(304) 647-3006
Mailing address
200 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
(304) 647-1140
(304) 647-3006
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
247100000X
Radiologic Technologist
—
—
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
2471M2300X
Mammography Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
2472D0500X
Darkroom Technician
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
09/11/2025
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