Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 5101026229 | MI |
NPI | 1043604432 |
---|---|
Provider Name | Dr. Neal Matthew Foley |
First Address | Las Vegas, NV 89128-0494 |
Second Address | Las Vegas, NV 89128-0494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 14/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043604432 | NPI (01) | NV |
SL1168 | NEVADA OSTEOPATHIC MEDICAL BOARD (01) | NV |