Individual
DR. JOHN DAVID JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ROUTE 10, THREE MILE CURVE, LOGAN, WV 25601
(304) 792-7130
(304) 792-7138
Mailing address
PO BOX 176, LOGAN, WV 25601-0176
(304) 792-7130
(304) 792-7138
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
19306
WV
2084P0800X
Psychiatry Physician
Primary
19306
WV
Other
Enumeration date
07/13/2006
Last updated
12/03/2007
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