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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUSTIN WAYNE DOUGLAS, MD

Active

Otolaryngology · BECKLEY, WV

Registration Details

NPI Number
1326210857
Provider Type
Individual
Gender
Male
NPI Issued
Mar 25, 2008 (18.077791572674 yrs)
Last Updated
Jan 7, 2022
Licenses
0101263258 (VA)
55925 (KY)
23770 (WV)

Practice Information

Address
1256 N EISENHOWER DR
BECKLEY, WV, 258013120
Browse WV providers · Browse ZIP 25801
Phone
3042542641
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Otolaryngology
Additional Specialty
Otolaryngology

Other Otolaryngology Providers in BECKLEY, WV

Name Credential NPI
DR. DAVID ALLEN BLAINE M.D. 1912968744
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.