Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 28977 | OK |
N | 111NI0900X | Internist | 28977 | OK |
Y | 207RG0100X | Gastroenterologist | 28977 | OK |
NPI | 1043339575 |
---|---|
Provider Name | David A Neumann II |
First Address | Oklahoma City, OK 73142-1874 |
Second Address | Oklahoma City, OK 73142-1874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 07/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
567605200 | (05) | MN |
P00437375 | MEDICARE RAILROAD (01) | MN |