Individual
DAVID DIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 BIRD NEST WAY, SHEPHERDSTOWN, WV 25443-3734
(304) 995-8240
Mailing address
PO BOX 1411, SHEPHERDSTOWN, WV 25443-1411
(304) 579-4746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21679
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38100000820
—
WV
Enumeration date
06/01/2005
Last updated
03/06/2025
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