Organization
DESTINATIONS DIRECT PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C NEELY MD (MD/CEO)
(304) 741-3523
Entity
Organization
Contact information
Practice address
338 VIA VERA CRUZ STE 100, SAN MARCOS, CA 92078-2645
(304) 741-3523
Mailing address
338 VIA VERA CRUZ STE 100, SAN MARCOS, CA 92078-2645
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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