Individual
MICHAEL JAMES NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 JARRETT WHITE RD, TAMC, HI 96859-5001
(808) 433-5074
Mailing address
92-1240 PALAHIA ST APT U104, KAPOLEI, HI 96707-2347
(714) 273-0116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
551128
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
R197947
MD
Other
Enumeration date
01/08/2007
Last updated
05/13/2024
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