Individual
DR. RICHARD NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13128 N 94TH DR STE 100, PEORIA, AZ 85381-4252
(623) 259-5900
(833) 766-3364
Mailing address
10503 W THUNDERBIRD BLVD, SUITE 108, SUN CITY, AZ 85351-3022
(623) 977-4479
(623) 977-4497
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
22767
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313940-01
—
AZ
01
—
4216993
AETNA ID #
AZ
01
—
AZ0378280
BLUE CROSS/BLUE SHIELD ID #
AZ
01
—
IZ1738
HEALTHNET ID #
AZ
Enumeration date
06/13/2006
Last updated
08/08/2022
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