OrganizationActive
Haven N Wall Jr MD Inc
NPI 1710013081 · Cardiovascular Disease Physician · Lewisburg, WV
Provider details
- NPI number
- 1710013081
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Haven Wall, President(304) 645-6083
- License
- 12141 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Rr 2 Box 171c
Lewisburg, WV 24901-9318
Phone: (304) 645-6083
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1046
Lewisburg, WV 24901-4046
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2010-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.