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Individual

SCOTT M NEVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1001 HADLEY RD, MOORESVILLE, IN 46158-1794
(317) 834-5777
(317) 834-5776
Mailing address
1001 HADLEY RD, MOORESVILLE, IN 46158-1794
(317) 834-5777
(317) 834-5776

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001016A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000477927
ANTHEM PIN
IN
Enumeration date
05/02/2006
Last updated
12/27/2007
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