Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A161553 | CA |
NPI | 1003340126 |
---|---|
Provider Name | Dr. John William Mcneil II |
First Address | Walnut, CA 91789-2706 |
Second Address | Merced, CA 95340-8319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2017 |
Last Update Date | 29/12/2021 |