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Individual

DR. DENNIS REED MCNEELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 779-2721
(405) 779-2310
Mailing address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 779-2721
(405) 779-2310

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15065
OK
208600000X
Surgery Physician
15065
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020047749
MEDICARE RAILROAD
OK
05
100135670B
OK
01
5191286
AETNA
OK
01
731587852-00
INDIAN HEALTH SERVICES
OK
Enumeration date
11/01/2006
Last updated
01/09/2017
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