Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 26456 | OK |
N | 208600000X | Surgeon | 26456 | OK |
Y | 2086S0129X | Vascular Surgeon | 26456 | OK |
NPI | 1083879910 |
---|---|
Provider Name | Dr. James David Neel |
First Address | Oklahoma City, OK 73112-4455 |
Second Address | Oklahoma City, OK 73112-4455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 11/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
93837 | (05) | LA |