Fairmont ENT Associates Inc
Fairmont ENT Associates Inc is an Otolaryngology Physician in Fairmont, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.
- Licensed in
- WV
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1712 Locust AveFairmont, WV 26554
Phone: (304) 366-6157
Fax: (304) 366-0177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence WV14772 (WV) |
|---|---|
| Hearing Aid Equipment | Taxonomy 332S00000X · Licence 398 (WV) |
Record details
| NPI number | 1720055882 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joedy Daristotle — President · (304) 366-6157 |
| NPI enumerated | March 7, 2006 |
| Last updated in NPPES | October 26, 2012 |
| Mailing address | 1712 Locust Ave, Fairmont, WV 26554 |
Other providers in Fairmont
-
Joedy L Daristotle, MD
1712 Locust Ave, Fairmont, WV 26554-1321 · (304) 366-6157