Organization
MICHELE L NEIL DO, PLLC
Active
Other names
Functional Medical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE L NEIL DO (OWNER)
(918) 748-3640
Entity
Organization
Contact information
Practice address
6048 S SHERIDAN RD, TULSA, OK 74145-9212
(918) 748-3640
(918) 748-3644
Mailing address
6048 S SHERIDAN RD, TULSA, OK 74145-9212
(918) 748-3640
(918) 748-3644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4105
TX
207RS0010X
Sports Medicine (Internal Medicine) Physician
4105
TX
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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