# POTOMAC INTEGRATIVE HEALTH PLLC

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

## Provider details

- **NPI number:** 1235472523
- **Authorized official:** DAVID DIDDEN M.D. (DIRECTOR)
- **Authorized official phone:** (304) 579-4746

## Contact information

- **Practice address:** 207 S PRINCESS STREET, SUITE 11, SHEPHERDSTOWN, WV 25443
- **Practice address phone:** (304) 579-4746
- **Practice address fax:** (304) 579-4673
- **Mailing address:** PO BOX 1411, SHEPHERDSTOWN, WV 25443-1411
- **Mailing address phone:** (304) 579-4746
- **Mailing address fax:** (304) 579-4673

## Taxonomy

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

## Other

- **Enumeration date:** 04/04/2013
- **Last updated:** 10/04/2013