Mary C Neal
Orthopaedic Spine Surgeon
945 W Broadway
Jackson
, Wyoming 83001
Mary C Neal
Orthopaedic Spine Surgeon
945 W Broadway
Jackson
, Wyoming 83001
(307) 734-0345
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Mary C Neal
- Po Box 7369
- Jackson, WY
- Zip : 83002-7369
- Fax : (307) 734-0345
- Phone : (307) 734-5999
Second Address
- Mary C Neal
- 945 W Broadway
- Jackson, WY
- Zip : 83001
- Fax : (307) 734-0345
- Phone : (307) 734-5999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 6101A | WY |
National Provider Identifier
| NPI | 1053476242 |
|---|---|
| Provider Name | Mary C Neal |
| First Address | Jackson, WY 83002-7369 |
| Second Address | Jackson, WY 83001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2006 |
| Last Update Date | 26/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 313180 | BLUE CROSS BLUE SHIELD (01) | WY |
| E02814 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.