MARTIN L. CODISPOTI

LOGAN, WV
NPI1265717250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  73900)
Enumeration Date2011-10-21
Last Update Date2013-02-27
Business Address
-- MARTIN L. CODISPOTI FNP-BC
122 NICK SAVAS DR
LOGAN, WV 25601-3468
Phone number: 304-752-8081
Mailing Address
-- MARTIN L. CODISPOTI FNP-BC
7400 LYNN AVE
HAMLIN, WV 25523-1138
Phone number: 304-824-5806