Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 035062 | WV |
NPI | 1003863408 |
---|---|
Provider Name | Jane S Mcneil |
First Address | Charleston, WV 25301-3001 |
Second Address | Charleston, WV 25301-3001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 08/07/2007 |