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NPI Code Detail

MEDICARE: DR. NATHAN ROY NEELEY D.C

MEDICARE:  DR. NATHAN ROY NEELEY  D.C
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
1111N00000XChiropractor5779729-1202UT

General Provider Information

NPI Number : 1932185717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN ROY NEELEY D.C
Provider Business Mailing Address
First Line : 194 E 1050 N
Second Line :
City : HURRICANE
State : UT
Zip : 84737-1754
Country : US
Telephone Number : 435-635-5400
Fax Number :
Provider Business Practice Location Address
First Line : 301 N 200 E
Second Line :
City : ST GEORGE
State : UT
Zip : 84770-3010
Country : US
Telephone Number : 435-674-2626
Fax Number : 435-628-5999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 07/08/2007

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Directions to “ DR. NATHAN ROY NEELEY D.C” Practice Location

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