# JAMES R. TOOTHMAN DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154104081
- **Authorized official:** ALLY CARDENAS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (740) 586-0881

## Contact information

- **Practice address:** 83 LITTLE KANAWHA PKWY, ELIZABETH, WV 26143-5995
- **Practice address phone:** (304) 422-3904
- **Mailing address:** 601 AVERY ST STE 501, PARKERSBURG, WV 26101-5192
- **Mailing address phone:** (304) 422-3904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2023
- **Last updated:** 03/19/2025