NPI 1124779186

John Mason Priest

Practitioner Basic Emergency Medical Technician Fairmont, WV

Practice location

Address: 1325 Locust Ave, Fairmont, WV 26554-1435
Phone: (681) 753-5802
Mailing address: 444 Leonard Ave, Fairmont, WV 26554

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 039170 (WV)

Other Emergency Medical Technician, Basic providers in West Virginia →

Registry record

NPI: 1124779186
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jan 2022
Record last updated: 11 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.