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NPI Code Detail

MEDICARE: NORMAN GLEN NEAL MD

MEDICARE: NORMAN GLEN NEAL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician15167RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00740059OTHERLARAILROAD
2P00392494OTHERLARRM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821089822
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMAN GLEN NEAL MD
Provider Business Mailing Address
First Line : 1525 DICKORY AVE
Second Line :
City : HARAHAN
State : LA
Zip : 70123-2168
Country : US
Telephone Number : 504-818-0006
Fax Number : 505-818-0095
Provider Business Practice Location Address
First Line : 1525 DICKORY AVE
Second Line :
City : HARAHAN
State : LA
Zip : 70123-2168
Country : US
Telephone Number : 504-818-0006
Fax Number : 505-818-0095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 03/20/2012

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Directions to “ NORMAN GLEN NEAL MD” Practice Location

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