Mr. PHILLIP TODD NICHOLS MD
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1396744652- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 500 DONNALLY ST SUITE 200, CHARLESTON, WV, 253011648
- Phone
- (304) 342-0124
- Fax
- (304) 340-2204
Specialties & Taxonomies
Otolaryngology
License: WV #19053
Otolaryngology, Plastic Surgery within the Head & Neck
License: VA #0101273372
Otolaryngology
Primary License: VA #0101273372