Joedy L Daristotle, MD
Joedy L Daristotle, MD is an Otolaryngology Physician in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in North Dakota and West Virginia.
- Licensed in
- ND, WV
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1712 Locust AveFairmont, WV 26554-1321
Phone: (304) 366-6157
Fax: (304) 366-0177
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Specialties & licences
| Otolaryngic Allergy Physician (primary) | Taxonomy 207YX0602X · Licence WV14772 (WV) |
|---|---|
| Otolaryngology Physician | Taxonomy 207Y00000X · Licence PT21491 (ND) |
Record details
| NPI number | 1780712752 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | September 23, 2024 |
| Certification date | September 23, 2024 |
| Mailing address | 1712 Locust Ave, Fairmont, WV 26554-1321 |
Other providers in Fairmont
-
Fairmont ENT Associates Inc
1712 Locust Ave, Fairmont, WV 26554 · (304) 366-6157