Individual
ROLAND IRVIN NEAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 845-5086
Mailing address
10212 PANNELL DR, SAINT LOUIS, MO 63136-5632
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
MO
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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