Individual
DR. TRENT GLEN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 3RD ST, MOUNDSVILLE, WV 26041-1606
(304) 845-3464
(304) 845-2208
Mailing address
1924 GREEN HLS, GLEN DALE, WV 26038-1132
(304) 845-3464
(304) 845-2208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20434
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000178000
—
WV
Enumeration date
09/19/2005
Last updated
04/06/2022
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