Individual
JODI GOTTARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-1660
(304) 845-3211
Mailing address
800 WHEELING AVE, GLEN DALE, WV 26038-1660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2036
WV
363A00000X
Physician Assistant
50-004078
OH
Other
Enumeration date
09/10/2014
Last updated
03/20/2023
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