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Individual

DAVID E EDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
415 MORRIS STREET, STE 104, CHARLESTON, WV 25301
(304) 343-1399
(304) 345-7824
Mailing address
415 MORRIS STREET, STE 104, CHARLESTON, WV 25301
(304) 343-1399
(304) 345-7824

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19013
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001717676
BCBS
WV
05
0098538000
WV
01
0660720001
CIGNA GOVERNMENT SERVICES
01
2140608
UNITED HCARE
WV
Enumeration date
07/21/2006
Last updated
05/01/2008
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