Individual
JASON CLONNIE TRUSTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
208 MACCORKLE AVE SE, CHARLESTON, WV 25314-1160
(304) 343-4300
(304) 343-5476
Mailing address
208 MACCORKLE AVE SE, CHARLESTON, WV 25314-1160
(304) 343-4300
(304) 343-5476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01157
WV
Other
Enumeration date
08/18/2006
Last updated
05/18/2010
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