Individual
DAVID A. NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 S WOODS MILL RD, STE. 140, CHESTERFIELD, MO 63017-3429
(314) 485-1101
Mailing address
12 DANDRIDGE CT, SAINT PETERS, MO 63376-5963
(636) 448-7042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
137173
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
137173
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
04/26/2007
Last updated
10/13/2016
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