Individual
DR. ALVAN SCOTT MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
(215) 232-4093
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS 006886 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001247174
—
PA
01
—
0124717408
AMERICHOICE
PA
01
—
0432388000
INDEPENDENCE BLUE CROSS
PA
01
—
11494
BRAVO ELDER HEALTH
PA
01
—
13361
HEALTH PARTNERS
PA
01
—
30009751
KEYSTONE MERCY
PA
01
—
609582
HIGHMARK
PA
01
—
80169797
RR MEDICARE
PA
Enumeration date
08/11/2005
Last updated
08/14/2015
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