Individual provider · Type 1 NPI
Joedy L. Daristotle, MD
Otolaryngic Allergy Physician · Fairmont, WV
NPI number
1780712752
Active
Practice location
1712 Locust Ave
Fairmont, WV 26554-1321
Fax (304) 366-0177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | PT21491 (ND) |
| Otolaryngic Allergy Physician Primary | 207YX0602X | WV14772 (WV) |
Otolaryngic Allergy Physician: An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
5 other providers at this address
- Fairmont Ent Associates IncOtolaryngology Physician Fairmont, WV NPI 1720055882
- Catherine D. Ingle, M.S., CCC-AAudiologist Fairmont, WV NPI 1922307065
- Emily Ann Sinsel, OTR/LOccupational Therapist Fairmont, WV NPI 1619696572
- Erica Nicole Mouser, MOT/LOccupational Therapist Fairmont, WV NPI 1699081265
- Hannah Savage, MS-SLPSpeech-Language Pathologist Fairmont, WV NPI 1003661679
About NPI 1780712752
Joedy L. Daristotle, MD's National Provider Identifier is 1780712752, issued on Mar 1, 2007. The primary taxonomy on file is Otolaryngic Allergy Physician (207YX0602X), and the practice location is in Fairmont, WV. The record was last updated on Sep 23, 2024.