Individual
BRETT NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3850 S NATIONAL AVE STE 705, SPRINGFIELD, MO 65807-5239
(417) 888-0858
Mailing address
3850 S NATIONAL AVE STE 705, SPRINGFIELD, MO 65807-5239
(417) 888-0858
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD209893
OR
207N00000X
Dermatology Physician
S9944
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2019031589
MO
207NS0135X
Procedural Dermatology Physician
2019031589
MO
Other
Enumeration date
04/07/2017
Last updated
01/24/2024
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