Individual
CHRISTOPHER DISTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 388-2303
Mailing address
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304-1228
(304) 388-2303
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4583
WV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/11/2026
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