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Individual

DAVID R. DIDUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2800 IVY RD, CHARLOTTESVILLE, VA 22903
(434) 243-3600
(434) 244-4454
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101044140
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006402551
VA
Enumeration date
12/14/2006
Last updated
08/09/2023
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