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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. PT21491 (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.

Location: 1712 Locust Ave, Fairmont, WV, 26554-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
10/19/2024
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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
Fairmont
State
West Virginia
Zip
26554-1321
Phone Number
304-366-6157
Fax Number
304-366-0177
person
Provider Business Mailing Address Details
Address
1712 Locust Ave
City
Fairmont
State
West Virginia
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
-
Taxonomy
207Y00000X
License No.
WV14772 (West Virginia)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
207YX0602X
License No.
PT21491 (North Dakota)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
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