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Individual

DR. RICHARD A MCNEILLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO, FCCP

Contact information

Practice address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-1230
Mailing address
32 RECTER LN, SOUTH CHARLESTON, WV 25309-9663
(704) 300-9443

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3010
TN
207R00000X
Internal Medicine Physician
T-2337
MS
207RP1001X
Pulmonary Disease Physician
115288
MT
207RP1001X
Pulmonary Disease Physician
Primary
3010
TN
207RP1001X
Pulmonary Disease Physician
58-004978
OH
207RP1001X
Pulmonary Disease Physician
90050
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093087611
VA
05
30005177140001
KS
05
Q022431
TN
Enumeration date
01/27/2012
Last updated
11/12/2024
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