Individual
DR. JAMES P. DEHAVEN
Active
Individual
DR. JAMES P. DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14868
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938927
—
AL
05
—
009956355
—
AL
05
—
009956365
—
AL
01
—
515-21771
BCBS OF AL- 1500 ROSS CL
AL
01
—
515-21772
BCBS OF AL- 4300 W. MAIN
AL
Enumeration date
08/09/2005
Last updated
11/08/2018
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