Individual
DR. JAMES P. DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
176 DAWKINS DR, LEWISBURG, WV 24901-9302
(304) 645-6083
(304) 645-1439
Mailing address
176 DAWKINS DR, LEWISBURG, WV 24901-9302
(334) 793-9564
(334) 671-8907
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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