Jerry L Neely OD

NPI 1073666889 - Optometrist - 152W00000X

NPI Details
NPI 1073666889
Gender Male
Enumeration Date 01/18/2007
Last Updated 08/02/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1790 COMMERCE CENTER BLVD
FAIRBORN OH, 45324-6358, US
Phone (937) 878-3941
Fax (937) 878-3525
Business Location
1790 COMMERCE CENTER BLVD
FAIRBORN OH, 45324-6358, US
Phone (937) 878-3941
Fax (937) 878-3525
Toxanomy
Taxonomy Code 152W00000X
License State Ohio
License Number 2797
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According to our database, Dr. Jerry L Neely OD NPI is 1073666889, taxonomy code is 152W00000X and license number is 2797, license state is located at Ohio. Jerry L Neely OD physically located at 1790 Commerce Center Blvd, Fairborn OH, 45324-6358. NPI Number Jerry L Neely OD has the Individual type.

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1073666889 NPI number is provided on an as is basis without warranty of any kind. 1073666889 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry L Neely OD are for informational purposes only.