NPI 1295735850

Ear Nose & Throat Assc of Charl INC

Organisation Otolaryngology Physician Charleston, WV

Practice location

Address: 500 Donnally St Suite 200, Charleston, WV 25301-1648
Phone: (304) 342-0124
Fax: (304) 340-2204
Mailing address: PO Box 1628, Charleston, WV 25326-1628

Authorised official

Name: Frederick Thomas Sporck
Title: Physician Director
Phone: (304) 340-2225

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in West Virginia →

Registry record

NPI: 1295735850
Entity type: Organization
NPI issued: 26 Jul 2005
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.