# MOUNTAIN STATE DIABETES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain State Diabetes
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548892532
- **Authorized official:** DR. DAVID NEAL PICKERING DO (OWNER)
- **Authorized official phone:** (877) 377-8427

## Contact information

- **Practice address:** 1900 GARFIELD AVE STE A, PARKERSBURG, WV 26101-2565
- **Practice address phone:** (877) 377-8427
- **Practice address fax:** (304) 699-0396
- **Mailing address:** 1900 GARFIELD AVE STE A, PARKERSBURG, WV 26101-2565
- **Mailing address phone:** (877) 377-8427
- **Mailing address fax:** (304) 699-0396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2020
- **Last updated:** 11/30/2021