OrganizationActive
Ear Nose & Throat Assc of Charl Inc
NPI 1295735850 · Otolaryngology Physician · Charleston, WV
Provider details
- NPI number
- 1295735850
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Frederick Sporck, Physician Director(304) 340-2225
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
500 Donnally St
Suite 200
Charleston, WV 25301-1648
Phone: (304) 342-0124
Fax: (304) 340-2204
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1628
Charleston, WV 25326-1628
Registry dates
- Enumerated
- 2005-07-26
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.