Individual
DR. JUSTIN NEIL VENABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ROUTES 28 55, GRANT MEMORIAL HOSPITAL DRIVE, PETERSBURG, WV 26847-1019
(304) 257-1026
(304) 257-2537
Mailing address
3470 CALUMET DR, SHREVEPORT, LA 71107-7410
(318) 222-2559
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22529
WV
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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