Individual
JOE F NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 571-8330
(209) 491-7184
Mailing address
P O BOX 576649, MODESTO, CA 95357-6649
(209) 571-8330
(209) 491-7184
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G20792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ76734Z
—
CA
Enumeration date
06/07/2006
Last updated
09/21/2010
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