Organization
ANNE MARIE MCNEILL, MD, PHD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE MARIE MCNEILL M.D. (OWNER)
(714) 227-6276
Entity
Organization
Contact information
Practice address
1441 AVOCADO AVE, SUITE 702, NEWPORT BEACH, CA 92660-7721
(949) 325-1217
Mailing address
1441 AVOCADO AVE, SUITE 702, NEWPORT BEACH, CA 92660-7721
(949) 325-1217
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/24/2009
Last updated
10/12/2017
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