Individual
MR. JONATHAN STEPHEN NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTC
Contact information
Practice address
1432 S DOBSON RD, SUITE #304, MESA, AZ 85202-4768
(480) 412-7400
(480) 412-5991
Mailing address
1432 S DOBSON RD, SUITE #304, MESA, AZ 85202-4768
(480) 412-7400
(480) 412-5991
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
08/04/2011
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