Jack F Ditty III M.D.

NPI 1043390925 - Emergency Medicine - 207P00000X

NPI Details
NPI 1043390925
Gender Male
Enumeration Date 10/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
101 STADIUM DRIVE
MORGANTOWN WV, 26505, US
Phone (304) 598-4000
Fax (304) 293-6963
Business Location
P. O. BOX 897
MORGANTOWN WV, 26507-0897, US
Phone (304) 293-7401
Fax (304) 293-6963
Toxanomy
Taxonomy Code 207P00000X
License State West Virginia
License Number 21600
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According to our database, Dr. Jack F Ditty III M.D. NPI is 1043390925, taxonomy code is 207P00000X and license number is 21600, license state is located at West Virginia. Jack F Ditty III M.D. physically located at 101 Stadium Drive, Morgantown WV, 26505. NPI Number Jack F Ditty III M.D. has the Individual type.

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1043390925 NPI number is provided on an as is basis without warranty of any kind. 1043390925 is maintained by the National Plan & Provider Enumeration System. The contents of Jack F Ditty III M.D. are for informational purposes only.