Individual
MARK MATTHEW NEIMAT
Active
Individual
MARK MATTHEW NEIMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
CDR.3892
CO
207R00000X
Internal Medicine Physician
10289A
WY
207R00000X
Internal Medicine Physician
Primary
13244411-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142001100
—
WY
Enumeration date
07/01/2011
Last updated
06/03/2026
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