Individual
JOHN PONTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
270 BU DR, BUCKHANNON, WV 26201-9689
(703) 635-8848
Mailing address
88 CAMDEN AVE, BUCKHANNON, WV 26201-2534
(703) 635-8848
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002119
VA
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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