Individual
SEAN MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 S WEBER ST STE 200, COLORADO SPRINGS, CO 80903-1928
(866) 226-8576
Mailing address
8211 ROYAL SAND CIR APT 203, TAMPA, FL 33615-1582
(706) 536-0931
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26-2707834
—
CO
Enumeration date
08/07/2019
Last updated
08/07/2019
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