Individual
DOUGLAS M MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 E BRADFORD PKWY BLDG A, SPRINGFIELD, MO 65804-4264
(417) 761-5000
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R3B74
MO
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
R3B74
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201550720
—
MO
Enumeration date
09/28/2006
Last updated
03/22/2019
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