Individual
MR. NEAL MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
9201 MONTGOMERY BLVD NE # 5, ALBUQUERQUE, NM 87111-2468
(505) 217-1717
Mailing address
9201 MONTGOMERY BLVD NE # 5, ALBUQUERQUE, NM 87111-2468
(505) 217-1717
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1141
NM
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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