Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOEDY L DARISTOTLE, M.D.
Active Sole ProprietorJOEDY L DARISTOTLE, M.D. is a Otology & Neurotology healthcare provider located in FAIRMONT, West Virginia. NPI 1780712752 is currently active in the NPPES registry. Verify at CMS.
Otology & Neurotology · FAIRMONT, WV
Registration Details
- NPI Number
- 1780712752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2007 (19.489673374271 yrs)
- Last Updated
- Sep 23, 2024
- Licenses
-
PT21491 (ND)WV14772 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1712 LOCUST AVEFAIRMONT, WV, 265541321Browse WV providers · Browse ZIP 26554
- Phone
- 3043666157
- Fax
- 3043660177
- Primary Specialty
-
Otology & Neurotology
207YX0602X
- Additional Specialty
- Otology & Neurotology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.