Individual
JUSTIN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 W MAIN ST, SALEM, VA 24153-3610
(540) 855-5100
(403) 424-3735
Mailing address
1337 RIDDLE AVE APT 3, MORGANTOWN, WV 26505-2879
(394) 646-6054
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101274250
VA
207W00000X
Ophthalmology Physician
31147
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
08/18/2022
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