Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 48790 | AZ |
N | 207T00000X | Neurosurgeon | 73590 | GA |
NPI | 1023270386 |
---|---|
Provider Name | Dr. Matthew T Neal |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 08/09/2020 |