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NPI 1124010459

IndividualActive

Jerry Hadrych, DPM

NPI 1124010459 · Podiatrist · Fairmont, WV

Provider details

NPI number: 1124010459
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Credential: DPM
Sex: Male
Sole proprietor: Yes
License: 320 (WV)

Practice location

603 Alta Vista Ave

Fairmont, WV 26554-4185

Phone: (304) 333-3338

Fax: (304) 333-3201

More WV providers

Mailing address

603 Alta Vista Ave

Fairmont, WV 26554-4185

Registry dates

Enumerated: 2005-08-23
Last updated: 2025-04-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jerry Hadrych, DPM — NPI 1124010459, Fairmont, WV | NPI Central