NPI 1396744652

Phillip Todd Nichols, MD

Practitioner 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

Registered specialties (3)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 0101273372 (VA)

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Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 19053 (WV)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 0101273372 (VA)

Registry record

NPI: 1396744652
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2005
Record last updated: 28 May 2024

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.