person
Joedy L Daristotle, MD
Otolaryngic Allergy Physician in Fairmont, West Virginia
NPI 1780712752

Joedy L Daristotle is a Otolaryngic Allergy Physician based in Fairmont, WV and is specialized in Otolaryngic Allergy. Joedy L Daristotle practices in Fairmont, WV and has the professional credentials of MD. The NPI Number for Joedy L Daristotle is 1780712752 and holds a License No. WV14772 (West Virginia).

The current practice location address for Joedy L Daristotle is 1712 Locust Ave, Fairmont, WV and can be reached out via phone at 304-366-6157 and via fax at 304-366-0177. You can also correspond with Joedy L Daristotle through the mailing address at 1712 LOCUST AVE, FAIRMONT, WV - 26554-1321 (mailing address contact number: 304-366-6157).

Location: 1712 Locust Ave, Fairmont, WV, 26554-1321
person
Provider Profile Details
NPI Number
1780712752
Provider Name
Joedy L Daristotle
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1712 Locust Ave, Fairmont, WV, 26554-1321
Phone Number
304-366-6157
Fax Number
304-366-0177
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0041418000 05 WV
institution
Provider Business Practice Location Address Details
Address
1712 Locust Ave
City
State
Zip
26554-1321
Phone Number
304-366-6157
Fax Number
304-366-0177
person
Provider Business Mailing Address Details
Address
1712 Locust Ave
City
State
Zip
26554-1321
Phone Number
304-366-6157
Fax Number
304-366-0177
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
License No.
WV14772 (West Virginia)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
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