Dale Shannon Neal CRNA

NPI 1699003624 - Registered Nurse - 163W00000X

NPI Details
NPI 1699003624
Gender Male
Enumeration Date 12/02/2009
Last Updated 02/19/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
809 82ND PKWY
MYRTLE BEACH SC, 29572-4607, US
Phone (843) 449-7885
Fax
Business Location
1320 STEPHEN DR
PANAMA CITY FL, 32405-3633, US
Phone (843) 263-5801
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Florida
License Number RN171659
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According to our database, Dale Shannon Neal CRNA NPI is 1699003624, taxonomy code is 163W00000X and license number is RN171659, license state is located at Florida. Dale Shannon Neal CRNA physically located at 809 82nd Pkwy, Myrtle Beach SC, 29572-4607. NPI Number Dale Shannon Neal CRNA has the Individual type.

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1699003624 NPI number is provided on an as is basis without warranty of any kind. 1699003624 is maintained by the National Plan & Provider Enumeration System. The contents of Dale Shannon Neal CRNA are for informational purposes only.