Individual
DUSTIN MATTHEW NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11335 SSG SIMMS ST, FORT BLISS, TX 79918
(915) 742-1211
Mailing address
0, WEST POINT, NY 10996-1216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
04/29/2022
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