Individual
NEIL GREGORY MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
216 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1026
(314) 747-1161
Mailing address
40 W POPLAR ST, MASCOUTAH, IL 62258-1311
(618) 971-6460
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2007022628
MO
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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