Individual
MR. JOHN LEDREW NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 N CLASSEN BLVD STE E600, OKLAHOMA CITY, OK 73106-6016
(405) 248-9200
(405) 248-9321
Mailing address
3113 N MERIDIAN CT, OKLAHOMA CITY, OK 73122-1416
(405) 831-9945
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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