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NPI Code Detail

MEDICARE: DR. RICHARD GREGORY MCNEELY D.O.

MEDICARE: DR. RICHARD GREGORY MCNEELY D.O.
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
1207V00000XObstetrics & Gynecology Physician34004683OH

Other Identifiers

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

General Provider Information

NPI Number : 1568469914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD GREGORY MCNEELY D.O.
Provider Business Mailing Address
First Line : 1108 VESTER AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-1302
Country : US
Telephone Number : 937-399-7100
Fax Number : 937-399-7355
Provider Business Practice Location Address
First Line : 1108 VESTER AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-1302
Country : US
Telephone Number : 937-399-7100
Fax Number : 937-399-7355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 01/28/2010

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