FAIRMONT ENT ASSOCIATES, INC.

KINGWOOD, WV
NPI1659554046
Entity TypeOrganization
Authorized ContactJOEDY L DARISTOTLE
Physician
304-366-6157
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: WV  WV14772)
Enumeration Date2007-12-10
Last Update Date2008-05-22
Business Address
FAIRMONT ENT ASSOCIATES, INC.
300 S PRICE ST
KINGWOOD, WV 26537-1442
Phone number: 304-366-6157
Mailing Address
FAIRMONT ENT ASSOCIATES, INC.
1712 LOCUST AVE
FAIRMONT, WV 26554-1321
Phone number: 304-366-6157
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