Individual
DANIEL NEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5658 W HIGHWAY 260, SUITE 19, LAKESIDE, AZ 85929-5189
(928) 532-5838
(928) 532-6670
Mailing address
5658 W HIGHWAY 260, SUITE 19, LAKESIDE, AZ 85929-5189
(928) 532-5838
(928) 532-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7081
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285438
—
AZ
01
—
AZ0325980
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
01/31/2006
Last updated
10/22/2007
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